Individual
MRS. AMANDA MARIE THOMAS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LPC NCC
Contact information
Practice address
808 MAIN ST E, MENOMONIE, WI 54751-2735
(715) 231-2702
(715) 232-5987
Mailing address
808 MAIN ST E, PO BOX 470, MENOMONIE, WI 54751-2735
(715) 231-2702
(715) 232-5987
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
925-226
WI
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/01/2010
Last updated
10/05/2010
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