Individual
SHAYLA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 786-1183
Mailing address
2703 SHEPHERD VALLEY ST, RALEIGH, NC 27610-8655
(910) 670-8319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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