Individual
JOYCE ELLEN EVANGELIST-AJVIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
671 S 9TH AVE, TUCSON, AZ 85701-2550
(520) 979-1590
Mailing address
PO BOX 1901, TUCSON, AZ 85702-1901
(520) 979-1590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-11123
AZ
101YP2500X
Professional Counselor
Primary
LPC-11123
AZ
Other
Enumeration date
12/05/2009
Last updated
01/11/2012
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