Individual
STEPHANIE ANN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3139 N LINCOLN AVE, STE-203, CHICAGO, IL 60657-3114
(773) 717-2590
Mailing address
4646 N HERMITAGE AVE, FLOOR 1, CHICAGO, IL 60640-4506
(773) 919-7079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.007207
IL
Other
Enumeration date
06/16/2010
Last updated
11/01/2012
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