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NPI Code Detail

MEDICARE: KOTIA OWENS

MEDICARE: KOTIA OWENS
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
1101YP2500XProfessional CounselorLPC015867GA

General Provider Information

NPI Number : 1922932284
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOTIA OWENS
Provider Business Mailing Address
First Line : 3350 BRECKINRIDGE BLVD STE 200
Second Line :
City : DULUTH
State : GA
Zip : 30096-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3350 BRECKINRIDGE BLVD STE 200
Second Line :
City : DULUTH
State : GA
Zip : 30096-4959
Country : US
Telephone Number : 770-962-8396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ KOTIA OWENS ” Practice Location

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