Individual
DAVID EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC, ICAADC, ACADC
Contact information
Practice address
1604 C. N. MAIN STREET, MOUNTAIN GROVE, MO 65711-1010
(417) 683-5739
(417) 683-1602
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739
(417) 683-1602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2003032185
MO
Other
Enumeration date
06/03/2007
Last updated
07/22/2019
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