Whalio Doctors

NPI 1285850867

Jody Owens, MSLCPC

Practitioner Mental Health Counselor Malad City, ID

Practice location

Address
20 N Main St STE 10, Malad City, ID 83252-1281
Phone
(208) 317-6300
Fax
(208) 254-3386

Registered specialties

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LCPC-3275 (ID)

Registry record

NPI
1285850867
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Apr 2007
Record last updated
19 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.