Individual provider · Type 1 NPI

Mary Lu Owens, LMSW

Mental Health Counselor · Caldwell, ID

NPI number 1255764114 Active

Practice location

1605 S Kimball Ave
Caldwell, ID 83605-4548

Call (208) 454-2766 Map

Fax (208) 454-2771

Mailing address

PO Box 4824
Boise, ID 83711-4824

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW-24912 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1255764114

Mary Lu Owens, LMSW's National Provider Identifier is 1255764114, issued on Aug 14, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Caldwell, ID. The record was last updated on Aug 14, 2013.