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Jody Owens, MS,LCPC
Mental Health Counselor in Malad City, Idaho
NPI 1285850867

Jody Owens is a Mental Health Counselor based in Malad City, ID and is specialized in Mental Health. Jody Owens practices in Malad City, ID and has the professional credentials of MS,LCPC. The NPI Number for Jody Owens is 1285850867 and holds a License No. LCPC-3275 (Idaho).

The current practice location address for Jody Owens is 20 N Main St Ste 10, Malad City, ID and can be reached out via phone at 208-317-6300 and via fax at 208-254-3386.

Location: 20 N Main St Ste 10, Malad City, ID, 83252-1281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285850867
Provider Name
Jody Owens
Credential
MS,LCPC
Provider Entity Type
Individual
Gender
Female
Address
20 N Main St Ste 10, Malad City, ID, 83252-1281
Phone Number
208-317-6300
Fax Number
208-254-3386
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806997900 05 ID
institution
Provider Business Practice Location Address Details
Address
20 N Main St Ste 10
City
Malad City
State
Idaho
Zip
83252-1281
Phone Number
208-317-6300
Fax Number
208-254-3386
person
Provider Business Mailing Address Details
Address
20 N Main St Ste 10
City
Malad City
State
Idaho
Zip
83252-1281
Phone Number
208-317-6300
Fax Number
208-254-3386
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCPC-3275 (Idaho)
Definition
Definition to come...
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