Individual
MR. HOWARD JEROME OWENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
600 WEST GRAND AVENUE ALLENDALE ASSOCIATION, LAKE VILLA, IL 60046
(847) 245-6170
(847) 356-0209
Mailing address
600 WEST GRAND AVENUE, LAKE VILLA, IL 60046
(847) 245-6170
(847) 356-0209
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362177140001
—
IL
Enumeration date
09/21/2023
Last updated
09/21/2023
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