| Doctor Name: | TERESA P. EVANS |
| NPI Number: | 1033584255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC #4643 |
| License Number: | 4643 |
| Business Practice Address: | 1115 Dunlap Rd Stress Management Center At Fernview Anderson, SC - 296212501 |
| Business Phone Number: | 8642250792 |
| Business Fax Number: | 8642263968 |
| Mailing Address: | 1115 Dunlap Rd, Stress Management Center At Fernview ANDERSON |
| State: | SC |
| Postal Code: | 296212501 |
| Phone Number: | 8642250792 |
| Fax Number: | 8642263968 |
| NPI Enumeration Date: | 12/14/2015 |
| NPI Last Update Date: | 12/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |