Doctor Name: | MS. CASSANDRA RELYNN OWENS |
NPI Number: | 1619000890 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | A0311095 |
Business Practice Address: | 824 W Main St Magnolia, AR - 717533316 |
Business Phone Number: | 8702340495 |
Business Fax Number: | 8702349481 |
Mailing Address: | Po Box 34, MC NEIL |
State: | AR |
Postal Code: | 717520034 |
Phone Number: | 8706953893 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A0311095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |