Individual
MS. MICHELLE R. EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
14732 JAMAICA AVE, JAMAICA, NY 11435-4042
(718) 523-4242
Mailing address
13417 166TH PL, APT. #10F, JAMAICA, NY 11434-3846
(347) 392-2195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18234
NY
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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