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General NPI Number Information
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NPI Number | 1235716796
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Entity Type | Organization
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Legal Business Name | KATLYN OWENS LPC LLC
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 211 1/2 E LOCUST ST STE 1
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City | CLEARFIELD
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State | PA
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Zip | 16830-2419
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Country | US
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Telephone | 814-205-6541
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Fax |
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Provider Business Mailing Address
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Address Line | 605 FLETCHER RD
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City | CLEARFIELD
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State | PA
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Zip | 16830-3421
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Country | US
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Telephone | 814-553-8687
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Fax |
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | KATLYN OWENS
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Credential | M.ED, LPC
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Telephone | 814-205-6541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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