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Individual

MR. ISAAC EVERETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC, CADC

Contact information

Practice address
615 NASH ST E, WILSON, NC 27893-6364
(252) 292-6524
Mailing address
PO BOX 7345, WILSON, NC 27895-7345
(919) 709-1518

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC-2824
NC
101YP2500X
Professional Counselor
Primary
14587
NC
101YP2500X
Professional Counselor
QS141728
NC

Other

Enumeration date
09/29/2015
Last updated
09/01/2024
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