Individual
MARY ALISA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
3000 HIGHWOODS BLVD, SUITE 310, RALEIGH, NC 27604-1027
(919) 714-7500
(919) 714-7367
Mailing address
3000 HIGHWOODS BLVD, SUITE 310, RALEIGH, NC 27604-1027
(919) 714-7500
(919) 714-7367
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11967
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13674534
CAQHID
NC
Enumeration date
01/29/2016
Last updated
01/29/2016
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