Doctor Name: | JANET EILEEN EVANS |
NPI Number: | 1164636601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.P.C. |
License Number: | |
Business Practice Address: | 421 W Main St Vandalia, IL - 624712214 |
Business Phone Number: | 6182834229 |
Business Fax Number: | 6182839302 |
Mailing Address: | 211 Edward St., PIERRON |
State: | IL |
Postal Code: | 622730587 |
Phone Number: | 6186546946 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
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: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |