| Doctor Name: | SARA LOUISE EVANS |
| NPI Number: | 1225052715 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC NCC |
| License Number: | LPC1720 |
| Business Practice Address: | 9998 Frankfort Highway Fort Ashby, WV - 26719 |
| Business Phone Number: | 3042984443 |
| Business Fax Number: | 3042984443 |
| Mailing Address: | 590 Goldsborough Rd, SPRINGFIELD |
| State: | WV |
| Postal Code: | 267635617 |
| Phone Number: | 3042984443 |
| Fax Number: | 3042984443 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC1720 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |