Individual
MR. DOUGLAS MICHAEL OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
311 JUDGES RD, UNIT E, WILMINGTON, NC 28405-3651
(910) 792-9888
(910) 792-9883
Mailing address
311 JUDGES RD, UNIT E, WILMINGTON, NC 28405-3651
(910) 792-9888
(910) 792-9883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
4782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102894
—
NC
Enumeration date
05/17/2006
Last updated
02/14/2013
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