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Organization
THERESA EVANS LMSW CAADC LLC
Active
Organization
THERESA EVANS LMSW CAADC LLC
Active
Other names
Trillium Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA A EVANS (LMSW)
(231) 409-8622
Entity
Organization
Contact information
Practice address
3130 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 409-8622
Mailing address
2506 HOLLAND CIR, TRAVERSE CITY, MI 49685-7410
(231) 409-8622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972659845
—
MI
Enumeration date
05/14/2018
Last updated
02/09/2026
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