Individual
MELISSA RENEE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
180 KY HWY 801 N, MOREHEAD, KY 40351
(740) 550-6401
(606) 783-0559
Mailing address
180 KY HIGHWAY 801 N, MOREHEAD, KY 40351-9231
(740) 550-6401
(606) 783-0559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1262
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1262
LPCC #
KY
Enumeration date
06/20/2013
Last updated
06/20/2013
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