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Individual

MR. THOMAS EDWARD OWENS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA, CGCS, ICADC, SAP

Contact information

Practice address
706 ALSTON ST, OZARK, AR 72949-9789
(479) 209-0661
Mailing address
706 ALSTON ST, OZARK, AR 72949-9789
(479) 209-0661

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
174114
AR
101YA0400X
Addiction (Substance Use Disorder) Counselor
2130
AR
101YA0400X
Addiction (Substance Use Disorder) Counselor
829792
AR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
SAP174114
AR

Other

Enumeration date
03/23/2020
Last updated
08/13/2021
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