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NPI Code Detail

MEDICARE: PAUL WILLIAM RICH OWEN LPCC

MEDICARE: PAUL WILLIAM RICH OWEN LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC.2103835OH
2101YM0800XMental Health CounselorE.2404283OH

General Provider Information

NPI Number : 1194477166
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL WILLIAM RICH OWEN LPCC
Provider Business Mailing Address
First Line : 4790 RED BANK RD STE 128
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1509
Country : US
Telephone Number : 513-731-3346
Fax Number :
Provider Business Practice Location Address
First Line : 4790 RED BANK RD STE 128
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1509
Country : US
Telephone Number : 513-731-3346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2022
Last Update Date : 04/25/2024

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Directions to “ PAUL WILLIAM RICH OWEN LPCC” Practice Location

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