Individual
DIANNE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CISW, CSAC
Contact information
Practice address
627 MAIN STREET, DARLINGTON, WI 53530
(608) 776-4800
(608) 776-4914
Mailing address
627 MAIN STREET, DARLINGTON, WI 53530
(608) 776-4800
(608) 776-4914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
839-122
WI
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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