Provider Demographics
NPI:1336508548
Name:OWEN, KASEY LAURA (LMFT)
Entity Type:Individual
Prefix:
First Name:KASEY
Middle Name:LAURA
Last Name:OWEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 LOCUST ST STE A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-9314
Mailing Address - Country:US
Mailing Address - Phone:775-322-6066
Mailing Address - Fax:
Practice Address - Street 1:1750 LOCUST ST STE A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-9314
Practice Address - Country:US
Practice Address - Phone:775-322-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4741106H00000X
NVMI1081106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist