Individual
WHITNIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LPC US
Contact information
Practice address
34183 COUNTRY CLUB LN, POTEAU, OK 74953-9122
(918) 647-7641
Mailing address
34183 COUNTRY CLUB LN, POTEAU, OK 74953-9122
(918) 647-7641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC UNDERSUPERVISION
OK
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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