person
Mr. Howard Jerome Owens JR., LCPC
Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Villa, Illinois
NPI 1760261523

Howard Jerome Owens JR. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lake Villa, IL and is specialized in Mental Health (Including Community Mental Health Center). Howard Jerome Owens JR. practices in Lake Villa, IL and has the professional credentials of LCPC. The NPI Number for Howard Jerome Owens JR. is 1760261523 and holds a License No. (Illinois).

The current practice location address for Howard Jerome Owens JR. is 600 West Grand Avenue Allendale Association, Lake Villa, IL and can be reached out via phone at 847-245-6170 and via fax at 847-356-0209.

Location: 600 West Grand Avenue Allendale Association, Lake Villa, IL, 60046
person
Provider Profile Details
NPI Number
1760261523
Provider Name
Howard Jerome Owens JR.
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
600 West Grand Avenue Allendale Association, Lake Villa, IL, 60046
Phone Number
847-245-6170
Fax Number
847-356-0209
Provider Enumeration Date
09/21/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
362177140001 05 IL
institution
Provider Business Practice Location Address Details
Address
600 West Grand Avenue Allendale Association
City
State
Zip
60046
Phone Number
847-245-6170
Fax Number
847-356-0209
person
Provider Business Mailing Address Details
Address
600 West Grand Avenue Allendale Association
City
State
Zip
60046
Phone Number
847-245-6170
Fax Number
847-356-0209
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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