Provider Demographics
NPI:1811033772
Name:OWENS, ALAN G (LICENSED CLINICAL PR)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:G
Last Name:OWENS
Suffix:
Gender:M
Credentials:LICENSED CLINICAL PR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9241 S. IL RT 31
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156
Mailing Address - Country:US
Mailing Address - Phone:847-854-4333
Mailing Address - Fax:847-854-4334
Practice Address - Street 1:9241 S. IL RT 31
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156
Practice Address - Country:US
Practice Address - Phone:847-854-4333
Practice Address - Fax:847-854-4334
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-004386101YP2500X
IL180.004386101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional