Individual
MR. ETHAN WILLIAM EVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(681) 205-8646
Mailing address
110 WHITE ST APT J, CHARLESTON, WV 25302-4951
(304) 932-2820
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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