| Everson Psychotherapy, Inc. | |
|
8037 Fair Oaks Blvd Ste 110 Carmichael CA 95608-6742 | |
| (916) 905-3395 | |
| (916) 905-0315 |
| Full Name | Everson Psychotherapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8037 Fair Oaks Blvd Ste 110, Carmichael, California |
| Authorized Official Name and Position | Michael Everson (PRESIDENT) |
| Authorized Official Contact | 9169053395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Everson Psychotherapy, Inc. 8037 Fair Oaks Blvd Ste 110 Carmichael CA 95608-6742 Ph: (916) 905-3395 | Everson Psychotherapy, Inc. 8037 Fair Oaks Blvd Ste 110 Carmichael CA 95608-6742 Ph: (916) 905-3395 |
| NPI Number | 1568055218 |
|---|---|
| Provider Enumeration Date | 02/13/2021 |
| Last Update Date | 02/13/2021 |
| Certification Date | 02/13/2021 |
| Medicare PECOS PAC ID | 2466896279 |
|---|---|
| Medicare Enrollment ID | O20240220004588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568055218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Michael C Everson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639574015 PECOS PAC ID: 9739530338 Enrollment ID: I20240508001577 |
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