Individual
DR. CHERYL L OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D., LPCC, LICDC
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, V3 SATP, VANCOUVER, WA 98661-3753
(360) 696-4061
Mailing address
1601 E FOURTH PLAIN BLVD, V3 SATP, VANCOUVER, WA 98661-3753
(360) 696-4061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E2562
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
923352
OH
103T00000X
Psychologist
Primary
6609
OH
Other
Enumeration date
11/01/2006
Last updated
08/16/2011
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