Individual
CHRISTINA E EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
25 PALACIO, SANTA FE, NM 87508-2249
(505) 466-8127
Mailing address
25 PALACIO, SANTA FE, NM 87508-2249
(505) 466-8127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0091741
NM
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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