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NPI Code Detail

MEDICARE: EVELYN MARIE STEETS LCSW

MEDICARE: EVELYN MARIE STEETS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor9587TN

General Provider Information

NPI Number : 1669135026
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN MARIE STEETS LCSW
Provider Business Mailing Address
First Line : 112 N LIBERTY ST
Second Line :
City : JACKSON
State : TN
Zip : 38301-6200
Country : US
Telephone Number : 731-736-4400
Fax Number :
Provider Business Practice Location Address
First Line : 112 N LIBERTY ST
Second Line :
City : JACKSON
State : TN
Zip : 38301-6200
Country : US
Telephone Number : 731-736-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2021
Last Update Date : 05/29/2026

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Directions to “ EVELYN MARIE STEETS LCSW” Practice Location

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