JACQUELYN M OWEN


Address: 2800 Riverside Pkwy, Bldg 2, Grand Junction, CO 81501-4721
Phone: 9702454213

JACQUELYN M OWEN (NPI# 1376596577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376596577
Entity Type Individual
Full Name JACQUELYN M OWEN
Credential MA
Practice Address 2800 Riverside Pkwy
Bldg 2
Grand Junction
CO 81501-4721
Mailing Address Po Box 40
Glenwood Springs
CO 81602-0040
Practice Telephone 9702454213
Practice Fax Number 9702437297
Mailing Telephone 9709452241
Mailing Fax Number 9709455523
Enumeration Date 2006-05-18
Last Update Date 2010-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
6157 CO Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
1854 CO Behavioral Health & Social Service Providers

Office Location

Street Address 2800 RIVERSIDE PKWY
BLDG 2
City GRAND JUNCTION
State CO
Zip Code 81501-4721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871976928 State of Colorado Department of Human Services Clinic/Center 2800 Riverside Pkwy, Grand Junction, CO 81501-4721 2015-07-08
1831482819 Laura S. Mcmeekin Counselor 2800 Riverside Pkwy, Bldg 2, Grand Junction, CO 81501-4721 2011-05-24
1396064960 Andrea Lyn Wilson Counselor 2800 Riverside Pkwy, Bldg 2, Grand Junction, CO 81501-4721 2010-05-21

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1053888149 Laura Mogden Counseling Services LLC Counselor 546 Main St Ste 403, Grand Junction, CO 81501-2683 2018-10-27
1184134652 Michelle Trosclair Counselor 1000 N 9th St Ste 37e, Grand Junction, CO 81501-3153 2017-10-10
1003344094 Mac Aarron Fish Counselor 622 Rood Ave Ste C, Grand Junction, CO 81501 2017-06-02
1720532146 Jymi Layne Bond Counselor 3153 Sharptail St, Grand Junction, CO 81504-6230 2016-08-15
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Competitor

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City GRAND JUNCTION
Zip Code 81501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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