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General NPI Number Information
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NPI Number | 1922405653
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Entity Type | Individual
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Provider Name | CHRISTINE EWALD LMHC LPC
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Gender | Female
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 407 SYCAMORE ST
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City | LA PORTE CITY
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State | IA
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Zip | 50651-1425
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Country | US
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Telephone | 319-895-3062
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Fax |
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Provider Business Mailing Address
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Address Line | 407 SYCAMORE ST
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City | LA PORTE CITY
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State | IA
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Zip | 50651-1425
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Country | US
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Telephone | 319-269-7915
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Fax | 888-414-9069
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12168-125
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18720
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001240
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License Number State | IA
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