Doctor Name: | MS. CATHY LOUISE OWEN |
NPI Number: | 1083820500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LADC |
License Number: | 600 |
Business Practice Address: | 209 W Broadway St Okemah, OK - 748592618 |
Business Phone Number: | 9186232922 |
Business Fax Number: | 9186239316 |
Mailing Address: | 708 W May St, HENRYETTA |
State: | OK |
Postal Code: | 744376072 |
Phone Number: | 9186527717 |
Fax Number: | 9186527717 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 06/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |