| Doctor Name: | KRISTEN E OWENS |
| NPI Number: | 1093744666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA,LPC |
| License Number: | 3527 |
| Business Practice Address: | 1095 Midway Rd Menasha, WI - 549521115 |
| Business Phone Number: | 9207202300 |
| Business Fax Number: | |
| Mailing Address: | Po Box 8003, APPLETON |
| State: | WI |
| Postal Code: | 549128003 |
| Phone Number: | 9209963298 |
| Fax Number: | 9207385787 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |