Provider Demographics
NPI:1033265830
Name:OWENS, NNEKA JEAN (MA LPC NCC)
Entity Type:Individual
Prefix:MRS
First Name:NNEKA
Middle Name:JEAN
Last Name:OWENS
Suffix:
Gender:F
Credentials:MA LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:22190 GARRISON ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2260
Mailing Address - Country:US
Mailing Address - Phone:313-769-5705
Mailing Address - Fax:313-769-6008
Practice Address - Street 1:22190 GARRISON ST
Practice Address - Street 2:SUITE 204
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2260
Practice Address - Country:US
Practice Address - Phone:313-769-5705
Practice Address - Fax:313-769-6008
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009269101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor