Individual
MICHAEL EVETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 WOODLAWN AVE STE 15, O FALLON, MO 63366-7647
(636) 379-1779
Mailing address
6406 LAWNSIDE DRIVE, ST. LOUIS, MO 63123
(314) 435-8696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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