Individual
MISS MONIQUE DENISE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S. CAC-AD
Contact information
Practice address
111 S POTOMAC ST, HAGERSTOWN, MD 21740-6680
(301) 264-8469
Mailing address
916 LANVALE ST, HAGERSTOWN, MD 21740-5236
(301) 992-4111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0668
MD
Other
Enumeration date
05/22/2008
Last updated
01/06/2023
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