Individual provider · Type 1 NPI

Camron Tyler Owens

Mental Health Counselor · Tishomingo, OK

NPI number 1093090227 Active

Practice location

801 E Main St
Tishomingo, OK 73460-2351

Call (580) 371-3799 Map

Fax (580) 371-2056

Mailing address

1307 S Johnston St
Ada, OK 74820-8149

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093090227

Camron Tyler Owens's National Provider Identifier is 1093090227, issued on Oct 19, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Oct 19, 2011.