Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 7743 | NC |
NPI | 1003227604 |
---|---|
Provider Name | Lynn Battle Owens |
First Address | Greenville, NC 27858-5462 |
Second Address | Greenville, NC 27858-5462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2014 |
Last Update Date | 16/05/2014 |