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Individual
EVA ARCHIE
Active
Individual
EVA ARCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
164871
KY
106H00000X
Marriage & Family Therapist
Primary
162990
KY
106H00000X
Marriage & Family Therapist
4101007322
MI
106H00000X
Marriage & Family Therapist
—
NULL
175T00000X
Peer Specialist
—
KY
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
04/09/2014
Last updated
01/20/2023
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