Provider Demographics
NPI:1992137384
Name:OWENS, PATRICIA MICHELLE (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MICHELLE
Last Name:OWENS
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:MICHELLE
Other - Last Name:HASSON-OWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NCC, LPC INTERN
Mailing Address - Street 1:9500 GILMAN DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-3204
Mailing Address - Country:US
Mailing Address - Phone:858-822-7413
Mailing Address - Fax:
Practice Address - Street 1:9500 GILMAN DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-3204
Practice Address - Country:US
Practice Address - Phone:858-822-7413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69768101YM0800X
CALPCC8977101Y00000X
NC315539101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health