Individual
JANEICE NICOLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 FOX GROVE CIR, COLUMBIA, SC 29229-7153
(803) 861-2006
Mailing address
132 FOX GROVE CIR, COLUMBIA, SC 29229-7153
(703) 861-2006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6877
SC
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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