Individual
JENNIFER OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACII
Contact information
Practice address
2109 FAIRBURN RD STE A, DOUGLASVILLE, GA 30135-1037
(678) 275-2370
Mailing address
2109 FAIRBURN RD STE A, DOUGLASVILLE, GA 30135-1037
(177) 072-6795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3458
GA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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