Organization
KIMBERLY OWEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY OWEN (LPC)
(704) 604-9249
Entity
Organization
Contact information
Practice address
17830 STATESVILLE RD, SUITE235, CORNELIUS, NC 28031-9173
(704) 604-9249
Mailing address
17830 STATESVILLE RD, SUITE235, CORNELIUS, NC 28031-9173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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