Individual
MR. KEVIN JOSEPH EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7382
Mailing address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008036882
MO
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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