Individual
GWENDOLYN P OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
601 11TH AVE, ALBANY, GA 31701-1645
(229) 430-4140
Mailing address
PO BOX 1988, 1120 W BROAD AVENUE, ALBANY, GA 31702-1988
(229) 430-0416
(229) 430-2954
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003953
GA
Other
Enumeration date
09/30/2008
Last updated
04/12/2011
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