Individual
KIMBERLY L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1634 SLAUGHTER RD, MADISON, AL 35758-5913
(256) 822-2375
(256) 584-2330
Mailing address
251 JOHNSTON ST SE STE 100, DECATUR, AL 35601-2515
(256) 822-2375
(256) 584-2330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
4239C
AL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
4239C
AL
Other
Enumeration date
12/03/2007
Last updated
01/11/2023
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