MR. MARTIN KYEL EWING LCPC
NPI 1194937227
Counselor - Mental Health in Chicago, IL
Active since May 03, 2007
About Mr. Martin Kyel Ewing Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARTIN KYEL EWING LCPC (NPI 1194937227) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1194937227
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MARTIN KYEL EWINGCredential: LCPC
Location Address8704 S. CONSTANCEChicago, IL 60617
Mailing Address7724 S. Cornell Ave, Unit 2Chicago, IL 60649 · (773) 307-6511
Phone(773) 734-4033
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194937227 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8704 S. CONSTANCE, Chicago, IL 60617
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194937227, enumerated as an "individual" on May 03, 2007.
The provider is located at 8704 S. CONSTANCE CHICAGO, IL 60617 and the phone number is (773) 734-4033.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
