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Individual

JENEVRA L OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
300 TALBOT STREET, EASTON, MD 21601
(619) 736-7211
Mailing address
2712 LOKER AVE W # 1104, CARLSBAD, CA 92010-6603
(619) 736-7211

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11900
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
367255700
MD
Enumeration date
11/27/2018
Last updated
08/02/2022
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