Doctor Name: | MS. KIMBERLY ANNE EVANS |
NPI Number: | 1003007667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.C.P.C. |
License Number: | |
Business Practice Address: | 219 Applebee St Barrington, IL - 600103036 |
Business Phone Number: | 8153828971 |
Business Fax Number: | |
Mailing Address: | 219 Applebee St, BARRINGTON |
State: | IL |
Postal Code: | 600103036 |
Phone Number: | 8153828971 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |