Individual
ATHENAE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 GLEN PARK, BRIDGETON, NJ 08302-4048
(856) 392-3386
Mailing address
426 GLEN PARK, BRIDGETON, NJ 08302-4048
(856) 392-3386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
09/14/2022
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