Individual
MRS. JENNY ROSE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1999 PRINCE AVE, ATHENS, GA 30606-6013
(706) 227-6002
(706) 310-1754
Mailing address
1999 PRINCE AVE, ATHENS, GA 30606-6013
(706) 227-6002
(706) 310-1754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1669
GA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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