Individual
CHARLES EARL EVERETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2501 W WILLIAM CANNON DR, AUSTIN, TX 78745-5281
(512) 344-9189
Mailing address
9009 GREAT HILLS TRL APT 2021, AUSTIN, TX 78759-7145
(512) 669-6219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62189
TX
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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