MEDICARE: KAWASKI J OWENS LPC

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
1	101YP2500X	Professional Counselor	0021830	CO
2	101YP2500X	Professional Counselor	3156	MS

General Provider Information

NPI Number	:	1801516984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAWASKI J OWENS LPC

Provider Business Mailing Address
First Line	:	102 FLOYD LN APT 2
Second Line	:
City	:	STARKVILLE
State	:	MS
Zip	:	39759-6623
Country	:	US
Telephone Number	:	662-205-8096
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 FLOYD LN
Second Line	:
City	:	STARKVILLE
State	:	MS
Zip	:	39759-6623
Country	:	US
Telephone Number	:	662-205-8096
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	03/10/2026

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