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General NPI Number Information
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NPI Number | 1245996198
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Entity Type | Organization
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Legal Business Name | EWING BLUE COUNSELING PLLC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 4509 N ILLINOIS ST STE 5
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City | SWANSEA
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State | IL
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Zip | 62226-1524
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Country | US
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Telephone | 618-702-9147
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Fax |
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Provider Business Mailing Address
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Address Line | 4509 N ILLINOIS ST STE 5
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City | SWANSEA
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State | IL
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Zip | 62226-1524
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Country | US
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Telephone | 618-702-9147
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FELICIA K EWING
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Credential | LCPC
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Telephone | 605-431-0878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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