Individual
AMANDA EVANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8949 DIXIE HWY, CLARKSTON, MI 48348-4246
(810) 626-5191
Mailing address
8949 DIXIE HWY, CLARKSTON, MI 48348-4246
(810) 626-5191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401225804
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
09/11/2020
Last updated
01/28/2026
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