Individual
JANNALEE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 E BASELINE RD STE 126, GILBERT, AZ 85234-2475
(480) 269-7212
Mailing address
2915 E BASELINE RD STE 126, GILBERT, AZ 85234-2475
(480) 269-7212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18274
AZ
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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