Individual
CAROLYN BRYANT EVERLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 283-1023
Mailing address
1006 TULIP ST, JOHNSON CITY, TN 37601-2118
(423) 928-0908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1162
TN
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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