Individual
MS. DESTINY EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 DUNN RD, HAZELWOOD, MO 63042-1740
(314) 731-2433
Mailing address
737 DUNN RD, HAZELWOOD, MO 63042-1740
(314) 731-2433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MO
251S00000X
Community/Behavioral Health Agency
—
MO
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
MO
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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