Organization
EWING BLUE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA K EWING LCPC (OWNER)
(605) 431-0878
Entity
Organization
Contact information
Practice address
4509 N ILLINOIS ST STE 5, SWANSEA, IL 62226-1524
(618) 702-9147
Mailing address
4509 N ILLINOIS ST STE 5, SWANSEA, IL 62226-1524
(618) 702-9147
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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