Individual
EVAN M WOUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
6963 W KL AVE STE A, KALAMAZOO, MI 49009-8043
(269) 762-0789
Mailing address
6963 W KL AVE STE A, KALAMAZOO, MI 49009-8043
(269) 762-0789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451013714
MI
Other
Enumeration date
09/18/2020
Last updated
08/15/2021
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