Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ALVIN EWING, CADC
ActiveAddiction (Substance Use Disorder) Counselor · FAIRFIELD, IL
Registration Details
- NPI Number
- 1063600773
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2007 (18.546216249486 yrs)
- Last Updated
- Oct 9, 2007
- License
-
15735 (IL)
Practice Information
- Address
-
407 N. BASIN ROADFAIRFIELD, IL, 62837Browse IL providers · Browse ZIP 62837
- Phone
- 6188422125
- Fax
- 6188424154
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FAIRFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. ALLISSA KEOUGHAN | BA | 1881006369 |
| MISS MAKENZIE BAKER X | BS | 1780053348 |
| BRIAN FRANK VAHL | — | 1750909628 |
| MISS CHLOE LANE WEAVER | MSW | 1013689330 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.