Individual
MRS. JESSICA ZWAHLEN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACI
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-2717
Mailing address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-2717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11110115
SC
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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