Individual
SHANE MICHAEL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
629 INGLE ST, EVANSVILLE, IN 47708-1345
(812) 470-2649
(812) 602-4023
Mailing address
629 INGLE ST, EVANSVILLE, IN 47708-1345
(812) 470-2649
(812) 602-4023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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