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Individual

SELENA OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1430 BLUE OAKS BLVD STE 260, ROSEVILLE, CA 95747-4003
(530) 887-1006
Mailing address
1430 BLUE OAKS BLVD STE 260, ROSEVILLE, CA 95747-4003
(530) 887-1006

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175T00000X
Peer Specialist
Primary
MPSS-BYNFAC
CA

Other

Enumeration date
09/06/2018
Last updated
05/21/2026
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