Individual
AMY MICHELLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
(573) 874-8686
Mailing address
1416 WATERFORD DR, COLUMBIA, MO 65203-0440
(816) 809-0213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018028475
MO
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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