Individual
YOLANDA MARIE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW, CSAC
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6680
Mailing address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(414) 416-7269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16132-132
WI
1041C0700X
Clinical Social Worker
Primary
129411-121
WI
Other
Enumeration date
09/12/2018
Last updated
10/26/2018
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