Individual
SHAKIRAH EWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S WASHINGTON AVE, MINNEAPOLIS, MN 55401
(862) 414-2214
Mailing address
4075 LINGLESTOWN RD # 172, HARRISBURG, PA 17112-1020
(862) 414-2214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00759900
NJ
101YM0800X
Mental Health Counselor
PC014624P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619577251
NPI 1
—
Enumeration date
10/30/2020
Last updated
02/10/2023
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