Provider Demographics
NPI:1881139582
Name:OWEN, AURORA (LPC)
Entity type:Individual
Prefix:
First Name:AURORA
Middle Name:
Last Name:OWEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 TENNYSON ST
Mailing Address - Street 2:UNIT 111
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2107
Mailing Address - Country:US
Mailing Address - Phone:303-495-6991
Mailing Address - Fax:
Practice Address - Street 1:612 N WASHINGTON ST
Practice Address - Street 2:SUITE 107
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3800
Practice Address - Country:US
Practice Address - Phone:303-495-6991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional