| Doctor Name: | TERRY L OWENS |
| NPI Number: | 1245501022 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MBA |
| License Number: | |
| Business Practice Address: | 120 W Broadway St Hollis, OK - 735504202 |
| Business Phone Number: | 5806889281 |
| Business Fax Number: | 5806882669 |
| Mailing Address: | 222 E Sheridan Ave Ste 2, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731044209 |
| Phone Number: | 4052000131 |
| Fax Number: | 4052700543 |
| NPI Enumeration Date: | 01/25/2012 |
| NPI Last Update Date: | 09/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |