Individual
DANIEL ROBERT OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8201
(541) 774-7979
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8201
(541) 774-7979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/27/2017
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