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NPI Code Detail

MEDICARE: MRS. EBONI DAVAUGHN HOWELL LPC, CMIB, CCTP-II

MEDICARE: MRS. EBONI DAVAUGHN HOWELL LPC, CMIB, CCTP-II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YP2500XProfessional CounselorPC008943PA

General Provider Information

NPI Number : 1720427677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EBONI DAVAUGHN HOWELL LPC, CMIB, CCTP-II
Provider Business Mailing Address
First Line : 7157 MARY PECK BOND PL
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1236
Country : US
Telephone Number : 412-609-0065
Fax Number :
Provider Business Practice Location Address
First Line : 7157 MARY PECK BOND PL
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1236
Country : US
Telephone Number : 412-609-0065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 02/23/2024

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