Individual
CAROL ANNE EVANGELISTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 S MAIN ST, ALLENTOWN, NJ 08501-1683
(609) 208-3053
Mailing address
16 HILTON CT, PENNINGTON, NJ 08534-1959
(609) 730-9422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00135300
NJ
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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