Individual
MS. TONA LYNN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC-CCS
Contact information
Practice address
970 ILLINOIS AVE, BANGOR, ME 04401-2722
(207) 945-4240
(207) 990-3660
Mailing address
95 ESSEX ST, BANGOR, ME 04401-5372
(207) 945-4240
(207) 990-3660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC 1492
ME
101YS0200X
School Counselor
LC 1492
ME
Other
Enumeration date
03/29/2007
Last updated
08/02/2007
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