Individual provider · Type 1 NPI

Mattie 'randi' Mae Owens, MSED, CADC-I, LPC

Professional Counselor · Wasilla, AK

NPI number 1356525349 Active

Practice location

491 N Knik St
Wasilla, AK 99654-7049

Fax (907) 373-2175

Mailing address

500 W Scheelite Dr, P.o. Box 871508
Wasilla, AK 99654-1304

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0046 (AK)

Professional Counselor: Definition to come...

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About NPI 1356525349

Mattie 'randi' Mae Owens, MSED, CADC-I, LPC's National Provider Identifier is 1356525349, issued on Dec 26, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wasilla, AK. The record was last updated on Dec 26, 2007.