Individual
KENDRA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
61 RIVERWALK BLVD STE H, RIDGELAND, SC 29936-3252
(843) 636-5017
(843) 206-0256
Mailing address
61 RIVERWALK BLVD STE H, RIDGELAND, SC 29936-3252
(843) 636-5017
(843) 206-0256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10971
SC
1041C0700X
Clinical Social Worker
Primary
15684
SC
Other
Enumeration date
02/06/2015
Last updated
12/16/2022
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