Individual
REGINA PERKINS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPE
Contact information
Practice address
1308 W 5TH ST, CROSSETT, AR 71635
(870) 364-6471
(870) 364-9753
Mailing address
1308 W 5TH ST, CROSSETT, AR 71635
(870) 364-6471
(870) 364-9753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9216E
AR
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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