Individual provider · Type 1 NPI
Evonna Surrette
Mental Health Counselor · Lake Ozark, MO
NPI number
1003242652
Active
Practice location
315 Highland Shores Dr, 4D
Lake Ozark, MO 65049-8739
Mailing address
PO Box 1352
Lake Ozark, MO 65049-1352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2014032286 (MO) |
| Mental Health Counselor | 101YM0800X | 9959 (NE) |
Mental Health Counselor: Definition to come...
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About NPI 1003242652
Evonna Surrette's National Provider Identifier is 1003242652, issued on Sep 15, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Ozark, MO. The record was last updated on Feb 2, 2017.