Individual provider · Type 1 NPI
Edward Everson Iii
Counselor · Jacksonville, FL
NPI number
1336694645
Active
Practice location
1419 University Blvd N
Jacksonville, FL 32211-5249
Fax (904) 745-1030
Mailing address
3239 Justina Rd, APT.58
Jacksonville, FL 32277-3191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1336694645
Edward Everson Iii's National Provider Identifier is 1336694645, issued on Aug 17, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 17, 2016.