Individual
JANINE RENEE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 W MYRTLE ST, SUITE 224, ANGLETON, TX 77515-4400
(979) 848-6760
Mailing address
104 W MYRTLE ST, SUITE 224, ANGLETON, TX 77515-4400
(979) 848-6760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84643L
BLUE CROSS BLUE SHEILD
TX
Enumeration date
02/02/2007
Last updated
09/19/2007
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