Evan Winfield Sexton, MA LPC-MHSP

Individual provider Active NPI Professional Counselor · Caryville, TN

NPI 1295063972 · NPPES record last updated Mar 9, 2017

Key facts

NPI
1295063972
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1935 (TN)
Practice address
233 Broyles Dr
Caryville, TN 37714-3253
Phone
(865) 805-1782
NPI assigned
Nov 18, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1935TNMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1935 TN Yes

Addresses

Primary practice location

233 Broyles Dr
Caryville, TN 37714-3253

Mailing address

233 Broyles Dr
Caryville, TN 37714-3253
Phone (865) 805-1782

Other providers in Caryville, TN

All providers in Caryville, TN · Professional Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.