| Doctor Name: | KEEGAN MARIE EVANS |
| NPI Number: | 1609183995 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 29516 Canvasback Dr Suite 200 Easton, MD - 216017140 |
| Business Phone Number: | 4108225007 |
| Business Fax Number: | 4108225569 |
| Mailing Address: | 2336 Goddard Pkwy, SALISBURY |
| State: | MD |
| Postal Code: | 218011126 |
| Phone Number: | 4103346961 |
| Fax Number: | 4103346362 |
| NPI Enumeration Date: | 09/08/2010 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |