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Individual

JULIANNA KATHERINE LANGE EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2200 DIAMOND DR, LOS ALAMOS, NM 87544-1739
(303) 888-3098
Mailing address
1788 34TH ST, LOS ALAMOS, NM 87544-2104
(303) 888-3098

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2026-0345
NM
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/05/2023
Last updated
05/03/2026
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