Individual
JESSICA LEIGH OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
441 CLAY ST STE 2, KINGSPORT, TN 37660-3693
(423) 247-4536
(423) 247-1117
Mailing address
915 BEECH GROVE RD, ROGERSVILLE, TN 37857-5537
(423) 235-9416
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1294
TN
Other
Enumeration date
11/24/2017
Last updated
11/24/2017
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