Individual provider · Type 1 NPI

Clarence Eversley

Mental Health Counselor · Valley Stream, NY

NPI number 1821690645 Active

Practice location

497 Rockaway Ave
Valley Stream, NY 11581-1909

Call (718) 845-2621 Map

Fax (718) 845-2622

Mailing address

61 Essex Rd
Elmont, NY 11003-2022

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821690645

Clarence Eversley's National Provider Identifier is 1821690645, issued on Nov 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Valley Stream, NY. The record was last updated on Nov 16, 2020.