| Doctor Name: | MS. SUSAN ANNE EVANS |
| NPI Number: | 1902938582 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS/ LPCC |
| License Number: | E-0002969 |
| Business Practice Address: | 5530 Allentown Rd Elida, OH - 458079413 |
| Business Phone Number: | 4193391605 |
| Business Fax Number: | |
| Mailing Address: | 5530 Allentown Rd, ELIDA |
| State: | OH |
| Postal Code: | 458079413 |
| Phone Number: | 4193391605 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 12/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E-0002969 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |