person
Dr. Otha Everett, EDD,CRC,MHP
Professional Counselor in Perry, Georgia
NPI 1043755531

Otha Everett is a Professional Counselor based in Perry, GA and is specialized in Professional. Otha Everett practices in Perry, GA and has the professional credentials of EDD,CRC,MHP. The NPI Number for Otha Everett is 1043755531 and holds a License No. 00048259 (Georgia).

The current practice location address for Otha Everett is 733-B Carroll Street, Perry, GA and can be reached out via phone at 478-224-2850 and via fax at 478-224-2850.

Location: 733-B Carroll Street, Perry, GA, 31069
person
Provider Profile Details
NPI Number
1043755531
Provider Name
Otha Everett
Credential
EDD,CRC,MHP
Provider Entity Type
Individual
Gender
Male
Address
733-B Carroll Street, Perry, GA, 31069
Phone Number
478-224-2850
Fax Number
478-224-2850
Provider Enumeration Date
12/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00048259 01 GA PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
733-B Carroll Street
City
State
Zip
31069
Phone Number
478-224-2850
Fax Number
478-224-2850
person
Provider Business Mailing Address Details
Address
733-B Carroll Street
City
State
Zip
31069
Phone Number
478-224-2850
Fax Number
478-224-2850
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
00048259 (Georgia)
Definition
Definition to come...
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