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Individual

BILLY W MCEWEN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
200 HIGHWAY 2 W, PO BOX 650, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1606
ND

Other

Enumeration date
04/08/2013
Last updated
04/08/2013
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