Individual
MS. CHARLOTTE L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1217 7TH ST, WASCO, CA 93280-1820
(661) 758-4029
Mailing address
2405 OLYMPIC DR, BAKERSFIELD, CA 93308-1811
(661) 399-9542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MFT 20016
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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