Individual
AUDRA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21213 S 146TH ST, GILBERT, AZ 85298-9310
(602) 753-6611
Mailing address
21213 S 146TH ST, GILBERT, AZ 85298-9310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-23230
AZ
101YP2500X
Professional Counselor
LPC-23230
AZ
Other
Enumeration date
05/04/2024
Last updated
07/30/2024
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