Provider Demographics
NPI:1184896599
Name:OWEN, SARAH L (MS LPC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:L
Last Name:OWEN
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7444 DUNBAR RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9619
Mailing Address - Country:US
Mailing Address - Phone:910-538-8115
Mailing Address - Fax:
Practice Address - Street 1:7444 DUNBAR RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-9619
Practice Address - Country:US
Practice Address - Phone:910-538-8115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORCO607101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health