Individual
EVAN MATHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
445 E INNIS AVE UNIT 72187, COLUMBUS, OH 43207-6809
(614) 515-7858
Mailing address
445 E INNIS AVE UNIT 72187, COLUMBUS, OH 43207-6809
(614) 515-7858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1901200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
02/15/2017
Last updated
06/25/2020
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