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NPI Code Detail

MEDICARE: EBONY HOWELL

MEDICARE: EBONY HOWELL
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
1101Y00000XCounselor
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1881134401
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONY HOWELL
Provider Business Mailing Address
First Line : 1310 S M ST
Second Line :
City : TACOMA
State : WA
Zip : 98405-3545
Country : US
Telephone Number : 253-287-6038
Fax Number :
Provider Business Practice Location Address
First Line : 1720 N HAMILTON ST
Second Line :
City : SPOKANE
State : WA
Zip : 99207-2474
Country : US
Telephone Number : 509-321-7590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2017
Last Update Date : 10/09/2024

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Directions to “ EBONY HOWELL ” Practice Location

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