Individual
MRS. KIMBERLY HINTON EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ED.M, LPC, NCC
Contact information
Practice address
1310 RAEFORD RD, SUITE 3, FAYETTEVILLE, NC 28305-5085
(910) 920-0572
Mailing address
1310 RAEFORD ROAD, SUITE 3, FAYETTEVILLE, NC 28305-5086
(910) 920-0572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00011168
WA
101YP2500X
Professional Counselor
Primary
7541
NC
Other
Enumeration date
12/01/2009
Last updated
03/22/2012
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