Individual
MS. KIMBERLY ANN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, LPC
Contact information
Practice address
308 CLAIREMONT AVE, DECATUR, GA 30030-2506
(770) 241-5863
Mailing address
747 RALPH MCGILL BLVD NE, UNIT 1372, ATLANTA, GA 30312-1127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006590
GA
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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