Individual
MRS. MARY KATHRYN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 CHARMANT PL STE 1, RIDGELAND, MS 39157-4358
(601) 850-7047
Mailing address
1404 SAINT ANN ST, JACKSON, MS 39202-1846
(601) 506-0528
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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