Individual
SHANOA LASHAE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-6124
(337) 524-1420
Mailing address
109 VILLAGE SQUARE DR, BROUSSARD, LA 70518-4866
(337) 345-6120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4162
LA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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