Individual
TRISTAN TAYLOR EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1321 MCMILLAN AVE, BREWTON, AL 36426-1324
(251) 867-3242
(251) 867-7151
Mailing address
1321 MCMILLAN AVE, BREWTON, AL 36426-1324
(251) 867-3242
(251) 867-7151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGB912120697
BLUECROSS BLUESHIELD OF ALABAMA
AL
Enumeration date
08/13/2018
Last updated
08/13/2018
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