Individual
JENNIFER LAURA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 FOWLER LN STE 204, DIAMOND SPRINGS, CA 95619-9782
(530) 626-3105
Mailing address
PO BOX 1987, DIAMOND SPRINGS, CA 95619-1987
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12201
CA
Other
Enumeration date
07/21/2009
Last updated
02/01/2024
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