Individual
CHRISTOPHER LEE EWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(779) 220-0156
Mailing address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(779) 220-0156
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166001040
IL
Other
Enumeration date
12/17/2014
Last updated
01/07/2022
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