Provider Demographics
NPI:1801516984
Name:OWENS, KAWASKI J (LPC)
Entity type:Individual
Prefix:
First Name:KAWASKI
Middle Name:J
Last Name:OWENS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 FLOYD LN
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-6623
Mailing Address - Country:US
Mailing Address - Phone:662-205-8096
Mailing Address - Fax:
Practice Address - Street 1:102 FLOYD LN
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-6623
Practice Address - Country:US
Practice Address - Phone:662-205-8096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3156101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional