Individual
MS. CHRISTOL EVEONNE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
5 STUCKHARDT RD, TROTWOOD, OH 45426-2756
(937) 979-3485
Mailing address
5 STUCKHARDT RD, TROTWOOD, OH 45426-2756
(937) 979-3485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.179436
OH
175T00000X
Peer Specialist
Primary
APS.005753
OH
Other
Enumeration date
02/04/2022
Last updated
11/22/2024
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