Individual
MS. DANA JACQUELINE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
7424 APENNINES DR, FT RILEY, KS 66442-7151
(785) 240-2716
Mailing address
3922 FORREST CREEK CIR, MANHATTAN, KS 66503-7598
(208) 404-3715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 4918
ID
101YM0800X
Mental Health Counselor
LPC-4405
ID
Other
Enumeration date
09/09/2010
Last updated
11/06/2014
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