Individual
LISA OWSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E 19TH ST N, BIG STONE GAP, VA 24219-3468
(276) 644-7690
Mailing address
205 E 19TH ST N, BIG STONE GAP, VA 24219-3468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007235
VA
Other
Enumeration date
03/05/2019
Last updated
05/20/2019
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