Christine Irene Evers, LICSW
Individual provider Active NPI Counselor · Cusick, WA
NPI 1558094466 · NPPES record last updated Jul 7, 2022
Key facts
- NPI
- 1558094466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LW60819537 (WA)
- Practice address
- 713 River Rd
Cusick, WA 99119-6002 - Phone
- (509) 863-3778
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60819537 | WA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LW60819537 | WA | Yes |
Addresses
Primary practice location
713 River Rd
Cusick, WA 99119-6002
Mailing address
713 River Rd
Cusick, WA 99119-6002
Phone (509) 863-3778
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | livingwatercounselingjn316@gmail.com | Health Information Exchange (HIE) |
Other providers in Cusick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.