Individual
AMY MICHELLE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
400 W 7TH ST STE 105G, BLOOMINGTON, IN 47404-3900
(812) 668-0055
Mailing address
9431 S POINTE LASALLES DR, BLOOMINGTON, IN 47401-9024
(317) 864-8531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99095013A
IN
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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