| Owen Counseling Llc | |
|
402 Gammon Pl Ste 290 Madison WI 53719-1075 | |
| (608) 977-4027 | |
| Not Available |
| Full Name | Owen Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 402 Gammon Pl Ste 290, Madison, Wisconsin |
| Authorized Official Name and Position | Michelle Owen (OWNER, LPC) |
| Authorized Official Contact | 6089774027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Counseling Llc 402 Gammon Pl Ste 290 Madison WI 53719-1075 Ph: (608) 977-4027 | Owen Counseling Llc 402 Gammon Pl Ste 290 Madison WI 53719-1075 Ph: (608) 977-4027 |
| NPI Number | 1508489899 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508489899 | NPI | - | NPPES |
| 100054046 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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