ETHAN OWENS

ST PETERSBURG, FL
NPI1851171268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-10-03
Last Update Date2023-10-03
Business Address
ETHAN OWENS MA
146 2ND ST N STE 101
ST PETERSBURG, FL 33701-3361
Phone number: 727-490-9911
Mailing Address
ETHAN OWENS MA
146 2ND ST N STE 101
ST PETERSBURG, FL 33701-3361
Phone number: 727-490-9911