Individual
CORLEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MHPP
Contact information
Practice address
9914 I-30, LITTLE ROCK, AR 72209-4201
(501) 565-8501
(501) 565-1219
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580
(479) 872-5581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
11/08/2010
Last updated
05/18/2011
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