Individual
MR. BELTON KINARD EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2222 VIREO DR, NORTH AUGUSTA, SC 29841-3135
(803) 378-2513
Mailing address
2222 VIREO DR, NORTH AUGUSTA, SC 29841-3135
(803) 378-2513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005548
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC 005548
GEORGIA LICENSING BOARD
GA
Enumeration date
03/29/2010
Last updated
03/29/2010
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