Individual
EVAN PATRICK CSIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LBS, LPC
Contact information
Practice address
1370 WASHINGTON PIKE, BRIDGEVILLE, PA 15017-2862
(412) 221-7770
Mailing address
9410 BABCOCK BLVD APT 3, ALLISON PARK, PA 15101-2038
(814) 460-8952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011978
PA
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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