Individual
LADAWN NICHELLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
2180 44TH ST SE, GRAND RAPIDS, MI 49508
(616) 239-2299
Mailing address
2180 44TH ST SE, GRAND RAPIDS, MI 49508-5323
(616) 239-2299
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017336
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/28/2018
Last updated
06/25/2019
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