Individual
MRS. LISA KAY OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4500 I 55 N STE 241, JACKSON, MS 39211-5983
(601) 405-7440
Mailing address
7038 COPPER CV, RIDGELAND, MS 39157-1043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2195
MS
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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