Evonna Surrette
Mental Health Counselor
315 Highland Shores Dr 4d
Lake Ozark
, Missouri 65049-8739
Evonna Surrette
Mental Health Counselor
315 Highland Shores Dr 4d
Lake Ozark
, Missouri 65049-8739
(479) 747-7980
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Evonna Surrette
- Po Box 1352
- Lake Ozark, MO
- Zip : 65049-1352
- Phone : (479) 747-7980
Second Address
- Evonna Surrette
- 315 Highland Shores Dr 4d
- Lake Ozark, MO
- Zip : 65049-8739
- Phone : (479) 747-7980
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 2014032286 | MO |
| N | 101YM0800X | Mental Health Counselor | 9959 | NE |
National Provider Identifier
| NPI | 1003242652 |
|---|---|
| Provider Name | Evonna Surrette |
| First Address | Lake Ozark, MO 65049-1352 |
| Second Address | Lake Ozark, MO 65049-8739 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2013 |
| Last Update Date | 02/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.