Individual
CHANICE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
408 W MAIN ST, OTTAWA, IL 61350-2802
(815) 326-9502
Mailing address
510 PEARL ST, OTTAWA, IL 61350-3044
(815) 228-7279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.020990
IL
Other
Enumeration date
11/19/2024
Last updated
11/21/2024
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