Individual
LESLIE M EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4272 CHERRY BLOSSOM DR, YPSILANTI, MI 48197-4001
(508) 944-7038
Mailing address
4272 CHERRY BLOSSOM DR, YPSILANTI, MI 48197-4001
(508) 944-7038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3299
AL
101YP2500X
Professional Counselor
6401017863
MI
251B00000X
Case Management Agency
4243838
—
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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