Individual
MR. DWIGHT DANIEL EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, M.DIV., LPC
Contact information
Practice address
133 SWITZGABEL DR, BRODHEADSVILLE, PA 18322-7120
(570) 401-6378
Mailing address
64 IOWA RD, ALBRIGHTSVILLE, PA 18210-3622
(570) 401-6378
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004180
PA
Other
Enumeration date
07/29/2010
Last updated
05/26/2016
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