THEODORE OWENS

LANCASTER, CA
NPI1447902507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1453731221)
Enumeration Date2022-01-20
Last Update Date2022-01-20
Business Address
THEODORE OWENS
44459 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-417-6480
Mailing Address
THEODORE OWENS
44459 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-417-6480