Individual
KYANA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 FORT ST, LINCOLN PARK, MI 48146-1915
(313) 382-7861
Mailing address
13783 JOBIN ST, SOUTHGATE, MI 48195-1816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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