Individual
DIANE RASHIDA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC-II
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207
(614) 445-8131
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
(614) 827-8380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC0810722
OH
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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