Individual
MRS. CARRIE ANN EVELYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
410 W 3RD ST, MC GREGOR, TX 76657-2306
(254) 981-4644
Mailing address
410 W 3RD ST, MC GREGOR, TX 76657-2306
(254) 981-4644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67220
TX
Other
Enumeration date
04/21/2013
Last updated
04/21/2013
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