| Doctor Name: | MRS. JO-CINDA RAE EVANS |
| NPI Number: | 1356406698 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2217 State Route 86 Saranac Lake, NY - 129835644 |
| Business Phone Number: | 5188915535 |
| Business Fax Number: | 5188915851 |
| Mailing Address: | 83 Stetson Rd, TUPPER LAKE |
| State: | NY |
| Postal Code: | 129869601 |
| Phone Number: | 5183593123 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2006 |
| 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: | |