Individual
CRYSTAL MARIE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
511 GRIFFIN AVE, WEST BRANCH, MI 48661-9251
(989) 345-5571
Mailing address
1199 W HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 362-8636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010874
MI
Other
Enumeration date
09/11/2012
Last updated
02/25/2016
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