Individual
MELANIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
604 SOLAREX CT, FREDERICK, MD 21703-7005
(443) 761-5245
Mailing address
604 SOLAREX CT, FREDERICK, MD 21703-7005
(443) 761-5245
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11709
MD
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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