Individual
MARY LEE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1630 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-3210
(252) 944-6264
(704) 655-2799
Mailing address
1630 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-3210
(252) 944-6264
(704) 655-2799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
1218
NC
106H00000X
Marriage & Family Therapist
5025A
NC
Other
Enumeration date
07/02/2007
Last updated
10/10/2014
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