Individual
MRS. KELLY CARTER EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
27888 MEADOW DR, SUITE 106, EVERGREEN, CO 80439-2102
(303) 378-6793
Mailing address
PO BOX 595, EVERGREEN, CO 80437-0595
(303) 378-6793
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4732
CO
Other
Enumeration date
01/12/2007
Last updated
02/27/2008
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