Individual provider · Type 1 NPI
Otha Everett, EDD, CRC, MHP
Professional Counselor · Perry, GA
NPI number
1043755531
Active
Practice location
733-B Carroll Street
Perry, GA 31069
Fax (478) 224-2850
Mailing address
733B Carroll Street
Perry, GA 31069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 00048259 (GA) |
Professional Counselor: Definition to come...
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About NPI 1043755531
Otha Everett, EDD, CRC, MHP's National Provider Identifier is 1043755531, issued on Dec 20, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Perry, GA. The record was last updated on Dec 20, 2016.