Individual
MS. ALISA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
4020 S 700 E STE 2, SALT LAKE CITY, UT 84107-2577
(801) 930-0123
Mailing address
4000 S 700 E STE 9, SALT LAKE CITY, UT 84107-2581
(801) 680-2343
(801) 639-9544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
328353-6009
UT
Other
Enumeration date
03/03/2019
Last updated
02/21/2024
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