Individual
KIMBERLY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 FERRAND ST, SUITE 23, MONROE, LA 71201-3234
(318) 323-0463
(318) 323-0465
Mailing address
2404 FERRAND ST, SUITE 23, MONROE, LA 71201-3234
(318) 323-0463
(318) 323-0465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4555
LA
Other
Enumeration date
10/07/2015
Last updated
11/03/2015
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