Individual
MS. AMANDA JEAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1360 S 5TH ST STE 394, SAINT CHARLES, MO 63301-2459
(314) 246-0761
Mailing address
1360 S 5TH ST STE 394, SAINT CHARLES, MO 63301-2459
(314) 246-0761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7820
MO
101YM0800X
Mental Health Counselor
2014027374
MO
101YP2500X
Professional Counselor
Primary
2014027374
MO
Other
Enumeration date
09/08/2011
Last updated
01/22/2024
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