Individual
EVAN WALTER DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6314 RUCKER RD STE A, INDIANAPOLIS, IN 46220-4800
(317) 376-0747
Mailing address
6314 RUCKER RD STE A, INDIANAPOLIS, IN 46220-4800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34010548A
IN
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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