Individual
CARRIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
924 TALUS DR, YELLOW SPRINGS, OH 45387-1414
(513) 266-9581
Mailing address
924 TALUS DR, YELLOW SPRINGS, OH 45387-1414
(513) 266-9581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
E.1000112
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176788
—
OH
Enumeration date
12/05/2013
Last updated
07/08/2024
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