Individual
MICHELLE OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
402 GAMMON PL STE 290, MADISON, WI 53719-1075
(608) 285-2974
(608) 841-1113
Mailing address
9613 LOST PINE TRL, VERONA, WI 53593-8438
(608) 977-4027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5774-125
WI
101YP2500X
Professional Counselor
Primary
PC005659
PA
Other
Enumeration date
11/08/2010
Last updated
05/05/2026
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