Individual provider · Type 1 NPI

Leslie Johnson Owen, LPC

Professional Counselor · Evans, GA

NPI number 1104114198 Active

Practice location

1202 Town Park Ln Ste 300
Evans, GA 30809-3477

Call (706) 210-8855 Map

Fax (706) 432-8775

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008165 (GA)

Professional Counselor: Definition to come...

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About NPI 1104114198

Leslie Johnson Owen, LPC's National Provider Identifier is 1104114198, issued on Jul 12, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evans, GA. The record was last updated on Jan 8, 2026.