Individual
MISS MEGAN CATHERINE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, QMHP-T, RBT
Contact information
Practice address
5893 ANTHONY DR, WOODBRIDGE, VA 22193-3619
(202) 805-2167
Mailing address
12731 MARBLESTONE DR STE 101, WOODBRIDGE, VA 22192-8334
(571) 589-0201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0734006918
VA
106S00000X
Behavior Technician
RBT-23-290626
VA
Other
Enumeration date
02/20/2018
Last updated
05/29/2024
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