Individual
MR. RUSSELL KENT OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5638 WARM SPRINGS RD, COLUMBUS, GA 31909-2408
(706) 221-9210
(706) 221-5427
Mailing address
4661 IVY PATCH DR, FORTSON, GA 31808-6897
(706) 315-5474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004996
GA
Other
Enumeration date
07/11/2006
Last updated
12/12/2014
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