Individual
MRS. CICELY EVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MH, CFMP
Contact information
Practice address
109 CHESTERFIELD DR, NEW CASTLE, DE 19720-1220
(302) 275-6879
Mailing address
18199 BEAVER DAM RD, LEWES, DE 19958-4535
(302) 344-1789
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
SC
174H00000X
Health Educator
000000
OR
174H00000X
Health Educator
000000
TX
174H00000X
Health Educator
—
DE
Other
Enumeration date
05/12/2015
Last updated
08/19/2022
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