Individual
KERRY MCGILL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3401 PETERSBURG RD, BURLINGTON, KY 41005-8784
(859) 647-0226
(859) 594-4519
Mailing address
3401 PETERSBURG RD, BURLINGTON, KY 41005-8784
(859) 647-0226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-0862
KY
101YP2500X
Professional Counselor
KY-0862
KY
Other
Enumeration date
10/27/2014
Last updated
10/28/2014
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