Rebecca Azis Owens
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Clyde, NC
NPI 1306018585 · NPPES record last updated Mar 28, 2008
Key facts
- NPI
- 1306018585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 884 (NC)
- Practice address
- 414 Hospital Dr
Clyde, NC 28721-8026 - Phone
- (828) 454-0560
- NPI assigned
- Mar 28, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 884 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 884 | NC | Yes |
Addresses
Primary practice location
414 Hospital Dr
Clyde, NC 28721-8026
Mailing address
414 Hospital Dr
Clyde, NC 28721-8026
Phone (828) 454-0560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6111772 | Medicaid | NC |
Other providers in Clyde, NC
- Chuck Edward Nettles
- New Mountain Eye Associates PLLC
- Hoa-Dung T Nguyen
- Nicole Ashley Nielsen
- Gregory John Ostler
- Frances A Owl-Smith
- Howard William Palay
- Palcoy Inc
- Brett Parmenter
- Barton R. Paschal
All providers in Clyde, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.