Individual
MISS GENEVIEVE ROSETTA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
2424 COMMERCE RD, JACKSONVILLE, NC 28546-7505
(252) 557-0444
Mailing address
2424 COMMERCE RD, JACKSONVILLE, NC 28546-7505
(252) 557-0444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20425
NC
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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