Provider Demographics
NPI:1609225069
Name:OWEN, KRISTIN
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:
Last Name:OWEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:HESSLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, CAADC, QMHP
Mailing Address - Street 1:1900 COLUMBUS AVE MCLAREN BAY REGION
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708
Mailing Address - Country:US
Mailing Address - Phone:989-894-3000
Mailing Address - Fax:
Practice Address - Street 1:1900 COLUMBUS AVE MCLAREN BAY REGION
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708
Practice Address - Country:US
Practice Address - Phone:989-894-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801099583101YA0400X, 1041C0700X
MI68011042041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)