Individual
MARILEE EVELETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
16 E ROUTE 66 STE 203, FLAGSTAFF, AZ 86001-5777
(928) 606-2907
Mailing address
16 E ROUTE 66 STE 203, FLAGSTAFF, AZ 86001-5777
(928) 606-2907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1093023
AZ
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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