Individual
CARMELLIA LATRAY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
237 STONECREST DR, BIRMINGHAM, AL 35242-6554
(205) 522-6375
Mailing address
237 STONECREST DR, BIRMINGHAM, AL 35242-6554
(205) 522-6375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ALC04572
AL
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
09/04/2023
Last updated
01/28/2025
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