Owens, Xiomara Cresensia

Owens, Xiomara Cresensia is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy , Bethel AK 99559. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Owens, Xiomara Cresensia can be contacted via phone (907) 543-6100.

Contact Information

Primary practice address
829 Chief Eddie Hoffman Hwy Bethel AK 99559
Phone: (907) 543-6100
Fax: (907) 543-6008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1669720322
LBN Legal business name Owens, Xiomara Cresensia
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2012
Last updated Sep 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669720322 NPPES
Alaska MEDICAID MH0150

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