Individual
ALESHA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Mailing address
314 INDUSTRIAL PARK RD # 7, FARMVILLE, VA 23901-2661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S5818192
VA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518176379
STONEHENG CASA E
CA
Enumeration date
10/05/2015
Last updated
04/26/2023
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