Individual provider · Type 1 NPI

Tracie Owen

Counselor · Ardmore, OK

NPI number 1124534565 Active

Practice location

333 W Main St Ste 210
Ardmore, OK 73401-6320

Mailing address

1219 S Rockford Rd
Ardmore, OK 73401-3650

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124534565

Tracie Owen's National Provider Identifier is 1124534565, issued on Dec 21, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ardmore, OK. The record was last updated on Dec 22, 2017.