Individual
KRISTY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 842-9217
(662) 680-6416
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 842-9217
(662) 680-6416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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