Individual
MS. JENNIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1631 GORDON HWY STE 17A, AUGUSTA, GA 30906-2229
(706) 230-7006
(762) 257-7442
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010831
GA
Other
Enumeration date
10/04/2019
Last updated
10/01/2024
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