Individual
BETH OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 270-3510
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 270-3510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
C4213
OR
101YP2500X
Professional Counselor
LH60938531
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123190
—
OR
Enumeration date
07/28/2010
Last updated
12/27/2023
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