Individual
MS. EVELYN M SITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
60 BENNETT CIR, LONDON, KY 40741-2842
(606) 862-9132
(606) 862-9334
Mailing address
60 BENNETT CIR, LONDON, KY 40741-2842
(606) 862-9132
(606) 862-9334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0965
KY
1041C0700X
Clinical Social Worker
Primary
1825
KY
Other
Enumeration date
07/19/2013
Last updated
06/02/2014
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