Individual
DAWN C EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
12896 GREY ST, LOGAN, OH 43138-9638
(740) 385-6354
Mailing address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
(740) 592-6728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162686
—
104100000X
Social Worker
Primary
I.2405512
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288411
—
OH
05
—
2314525
—
OH
05
—
2864002
—
OH
Enumeration date
05/15/2018
Last updated
03/19/2025
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