Individual
ALISSA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
2489 COUNTY ROAD 79 S, EUFAULA, AL 36027-5223
(334) 845-4044
Mailing address
103 AB COTTON DR, HEADLAND, AL 36345-9201
(334) 655-9446
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04379
AL
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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