Individual
MR. J MATTHEW EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4455 S PADRE ISLAND DR STE 101, CORPUS CHRISTI, TX 78411-5125
(334) 701-3858
Mailing address
3306 ORLANDO DR, CORPUS CHRISTI, TX 78411-3339
(334) 701-3858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
76157
TX
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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