Individual
AMANDA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-SUPV
Contact information
Practice address
1219 HIGH ST STE 100, WADSWORTH, OH 44281-7109
(234) 217-8001
Mailing address
1219 HIGH ST STE 100, WADSWORTH, OH 44281-7109
(234) 217-8001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002602A
IN
101YM0800X
Mental Health Counselor
Primary
E.1700188
OH
Other
Enumeration date
05/22/2014
Last updated
09/24/2024
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