Individual
KIM EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1106 E 6600 S, SALT LAKE CITY, UT 84121-2446
(385) 429-8200
(801) 327-7064
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(385) 429-8200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
135154-3501
UT
1041C0700X
Clinical Social Worker
Primary
135154-3501
UT
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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