Owen, Brenda L
Owen, Brenda L is an sole proprietor health care provider with primary practice located at 1500 14Th St W Ste 290 , Williston ND 58801-4078. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Owen, Brenda L can be contacted via phone (701) 334-6242.Contact Information
Primary practice address
1500 14Th St W Ste 290
Williston ND 58801-4078
Phone: (701) 334-6242
Fax: (701) 713-3299
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1613 | North Dakota |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4755 | North Dakota |
Profile Details
NPI number | 1346542727 |
---|---|
LBN Legal business name | Owen, Brenda L |
Credentials | LAC, LICSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 17th, 2010 |
Last updated | Feb 27th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346542727 | NPPES |
North Dakota | MEDICAID | 1454696 |
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