Individual
ASHLEY B EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LPC
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1902310
OH
104100000X
Social Worker
S.1701710
OH
1041C0700X
Clinical Social Worker
S.1701710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260224
—
OH
Enumeration date
09/26/2017
Last updated
05/10/2023
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