Individual
CHRISTINE OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1252 OLD GUM LOG RD, BLAIRSVILLE, GA 30512-2065
(706) 897-4237
Mailing address
PO BOX 2703, BLAIRSVILLE, GA 30514-2703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
01/27/2014
Last updated
04/19/2023
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