Individual
NICHOLAS EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 LANCASTER AVE BLDG J, MALVERN, PA 19355-1858
(484) 947-8820
Mailing address
270 LANCASTER AVE BLDG J, MALVERN, PA 19355-1858
(484) 947-8820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC020163
PA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
05/06/2026
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