Individual
MRS. JOHNETTE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 STONY LANDING RD, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-7308
Mailing address
P.O. BOX 1030, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-7308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC #1925
SC
101YP2500X
Professional Counselor
Primary
NBCC #36874
SC
Other
Enumeration date
06/10/2006
Last updated
02/04/2016
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