Individual
DR. MICHAEL THOMAS MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMIN, LADC
Contact information
Practice address
910 PACIFIC HILLS PT, A-201, COLORADO SPRINGS, CO 80906-8405
(719) 576-3860
Mailing address
910 PACIFIC HILLS PT, A-201, COLORADO SPRINGS, CO 80906-8405
(719) 576-3860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
53
OK
Other
Enumeration date
02/14/2006
Last updated
04/29/2008
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