Individual
STACEY DENISE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HYPNOTHERAPIST
Contact information
Practice address
112 KENTUCKY AVE APT 5, PIKEVILLE, KY 41501-9129
(606) 422-2710
Mailing address
PO BOX 1073, PIKEVILLE, KY 41502-1073
(606) 253-0682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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