Individual
MRS. AMY NICOLE EVERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
750 BROADWAY AVE E, MATTOON, IL 61938-4610
(217) 238-5700
(217) 238-5767
Mailing address
750 BROADWAY AVE E, MATTOON, IL 61938-4610
(217) 238-5700
(217) 238-5767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
12/22/2005
Last updated
11/21/2007
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