Individual
ALEXIS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12425 BIELEFELD LN, BLACK JACK, MO 63033-4255
(314) 458-4016
Mailing address
12425 BIELEFELD LN, BLACK JACK, MO 63033-4255
(314) 458-4016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018028231
MO
Other
Enumeration date
01/10/2014
Last updated
09/22/2020
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