Basic Information
| Provider Information | |||||||||
| NPI: | 1659620920 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OWENS | ||||||||
| FirstName: | COURTNEY | ||||||||
| MiddleName: | SAUNDERS | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPC, NCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 MADELINE DR | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 284053915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106205422 | ||||||||
| FaxNumber: | 9103970821 | ||||||||
| Practice Location | |||||||||
| Address1: | 5710 OLEANDER DR | ||||||||
| Address2: | SUITE 208 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 284034766 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9104521460 | ||||||||
| FaxNumber: | 9103970821 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2012 | ||||||||
| LastUpdateDate: | 03/06/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 9313 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.