Individual
JOHN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5575 CONNER ST, SUITE 201 PAVILION BUILDING, DETROIT, MI 48213-6400
(313) 300-4197
Mailing address
37378 CHARTER OAKS BLVD, CLINTON TWP, MI 48036
(313) 300-4197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014129
MI
Other
Enumeration date
03/17/2014
Last updated
06/16/2014
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