Individual
DR. DAMETRIA LYNN EWUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2930 S MICHIGAN AVE STE 100, CHICAGO, IL 60616
(773) 819-5504
Mailing address
2930 S MICHIGAN AVE STE 100, CHICAGO, IL 60616-3484
(773) 819-5504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXX
BCBS
—
Enumeration date
10/14/2019
Last updated
10/14/2019
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