Individual
CARLA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
3864 QUAIL MANOR DR SW, CONYERS, GA 30094-4066
(470) 771-2014
Mailing address
3864 QUAIL MANOR DR SW, CONYERS, GA 30094-4066
(470) 771-2014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
APC007583
GA
101YM0800X
Mental Health Counselor
APC007583
GA
101YP2500X
Professional Counselor
Primary
LPC014834
GA
Other
Enumeration date
02/18/2021
Last updated
08/29/2024
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