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General NPI Number Information
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NPI Number | 1235738980
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Entity Type | Individual
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Provider Name | HEIDI ER OWENS LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 3450 N ROCK RD STE 502A
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City | WICHITA
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State | KS
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Zip | 67226-1355
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Country | US
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Telephone | 316-749-8228
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Fax | 316-746-2156
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Provider Business Mailing Address
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Address Line | 3450 N ROCK RD STE 502A
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City | WICHITA
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State | KS
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Zip | 67226-1355
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Country | US
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Telephone | 316-749-8228
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Fax | 316-746-2156
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 03718-T
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License Number State | KS
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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 | 03843
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 03898
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License Number State | KS
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