Individual
COURTNEY EVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W. LCSW RPT
Contact information
Practice address
2500 S BRENTWOOD BLVD STE 211, SAINT LOUIS, MO 63144-2309
(314) 266-8545
Mailing address
2500 S BRENTWOOD BLVD STE 211, SAINT LOUIS, MO 63144-2309
(314) 266-8545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008037049
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11977937
CAQH
MO
Enumeration date
03/19/2009
Last updated
01/25/2017
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