Individual provider · Type 1 NPI
Susan Owen
Addiction (Substance Use Disorder) Counselor · Pekin, IL
NPI number
1407255185
Active
Practice location
3248 Vandever Ave
Pekin, IL 61554-6257
Fax (309) 347-4264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407255185
Susan Owen's National Provider Identifier is 1407255185, issued on Aug 19, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pekin, IL. The record was last updated on Aug 19, 2014.