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Individual

MS. JANICE LAVERNE OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, MCAP, CCTP

Contact information

Practice address
611 E ADAMS ST, JACKSONVILLE, FL 32202-2847
(904) 934-8075
Mailing address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 387-4661

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP-100555
FL

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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