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Mallory Owens, MSW
Counselor in Centralia, Illinois
NPI 1174972855

Mallory Owens is a Counselor based in Centralia, IL. Mallory Owens practices in Centralia, IL and has the professional credentials of MSW. The NPI Number for Mallory Owens is 1174972855 and holds a License No. (Illinois).

The current practice location address for Mallory Owens is 904 M L King Dr, Centralia, IL and can be reached out via phone at 618-533-1391 and via fax at 618-533-0012.

Location: 904 M L King Dr, Centralia, IL, 62801-3058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174972855
Provider Name
Mallory Owens
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
904 M L King Dr, Centralia, IL, 62801-3058
Phone Number
618-533-1391
Fax Number
618-533-0012
Provider Enumeration Date
06/03/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370915481007 05 IL
institution
Provider Business Practice Location Address Details
Address
904 M L King Dr
City
Centralia
State
Illinois
Zip
62801-3058
Phone Number
618-533-1391
Fax Number
618-533-0012
person
Provider Business Mailing Address Details
Address
904 M L King Dr
City
Centralia
State
Illinois
Zip
62801-3058
Phone Number
618-533-1391
Fax Number
618-533-0012
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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