Individual provider · Type 1 NPI
Mariah Renee Everitt, LPC-ASSOCIATE
Professional Counselor · Austin, TX
NPI number
1912509258
Active
Practice location
313 E Anderson Ln # 120
Austin, TX 78752-1236
Mailing address
193 Lake Gln
San Marcos, TX 78666-8042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 84526 (TX) |
Professional Counselor: Definition to come...
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About NPI 1912509258
Mariah Renee Everitt, LPC-ASSOCIATE's National Provider Identifier is 1912509258, issued on Nov 11, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Nov 11, 2020.