Individual
MR. BRIAN A OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, M.ED
Contact information
Practice address
1607 SW 15TH ST, OKLAHOMA CITY, OK 73108-6803
(405) 635-1966
Mailing address
557 SW 93RD ST, APT. 101, OKLAHOMA CITY, OK 73139-4818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
345
OK
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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