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General NPI Number Information
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NPI Number | 1063294957
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Entity Type | Individual
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Provider Name | KADISON OWENS LPC, CRC, NCC
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Gender | Female
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1050 N 3RD ST STE N
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City | LARAMIE
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State | WY
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Zip | 82072-2543
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Country | US
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Telephone | 307-421-5320
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Fax |
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Provider Business Mailing Address
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Address Line | 514 E GRAND AVE PMB 149
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City | LARAMIE
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State | WY
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Zip | 82070-3839
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Country | US
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Telephone | 74-215-3203
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC013899
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-2407
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License Number State | WY
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