Individual
KATHLEEN RYAN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6903 WHISTLERS COVE DR, MIDLOTHIAN, VA 23112-6148
(804) 433-9161
Mailing address
6903 WHISTLERS COVE DR, MIDLOTHIAN, VA 23112-6148
(804) 433-9161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103782
VA
1041C0700X
Clinical Social Worker
Primary
0904017499
VA
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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