Individual
ASHLEY ELIZABETH OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
285 JED RD, RUSTON, LA 71270-6998
(318) 548-7171
Mailing address
129 TES DR, CHOUDRANT, LA 71227-3197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5892
LA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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