Doctor Name: | KRISTY EVANS |
NPI Number: | 1003979659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 201 W Springdale Ave Knoxville, TN - 379175158 |
Business Phone Number: | 8653299052 |
Business Fax Number: | 8656374362 |
Mailing Address: | 201 W Springdale Ave, KNOXVILLE |
State: | TN |
Postal Code: | 379175158 |
Phone Number: | 8653299052 |
Fax Number: | 8656374362 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |