Individual
JOHN PETER EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3000 OLD CANTON RD STE 470, JACKSON, MS 39216-4225
(601) 454-3181
Mailing address
1480 NORTHLAKE DR, JACKSON, MS 39211-2137
(601) 454-3181
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0119
MS
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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