Individual
AMY MICHELLE EVANS-GEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
4713 TROUP HWY, TYLER, TX 75703-2354
(903) 581-7542
Mailing address
304 WILLOW RD, BULLARD, TX 75757-5024
(903) 521-0268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64157
TX
101YM0800X
Mental Health Counselor
64157
TX
101YP2500X
Professional Counselor
64157
TX
Other
Enumeration date
05/14/2010
Last updated
02/10/2023
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