Individual
TIERRA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 W SUNBRIDGE DR STE 5, FAYETTEVILLE, AR 72703-1870
(479) 900-2455
Mailing address
PO BOX 964, FAYETTEVILLE, AR 72702-0964
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2501021
AR
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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