Provider Information for 1952815219
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JESSICA LEIGH OWEN LMFT
Sex: Female
NPI: 1952815219
Last Updated: 2017-11-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1952815219 | ||||||||
| Enumeration Date | 2017-11-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 915 BEECH GROVE RD ROGERSVILLE, TN 37857-5537 United States Phone: 423-235-9416 | Fax: | ||||||||
| Primary Practice Address | 441 CLAY ST STE 2 KINGSPORT, TN 37660-3693 United States Phone: 423-247-4536 | Fax:423-247-1117 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|