Individual
MS. JILLIAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, ATR-BC
Contact information
Practice address
2900 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-3532
(505) 220-8512
Mailing address
2900 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-3532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0178661
NM
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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