Individual provider · Type 1 NPI

Malcolm Andrew Ewing, CAADAC (INTERN)

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1104052729 Active

Practice location

2577 San Pablo Ave
Oakland, CA 94612-1159

Mailing address

2551SAN Pablo Avenue
Oakland, CA 94612

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104052729

Malcolm Andrew Ewing, CAADAC (INTERN)'s National Provider Identifier is 1104052729, issued on Jun 10, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Jun 10, 2009.