| Evolution Counseling Center, P.c. | |
|
1603 Montgomery St Urbana IL 61802-4744 | |
| (217) 621-8529 | |
| Not Available |
| Full Name | Evolution Counseling Center, P.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1603 Montgomery St, Urbana, Illinois |
| Authorized Official Name and Position | Tonya Michelle Lawyer (OWNER) |
| Authorized Official Contact | 2176218529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Counseling Center, P.c. 1603 Montgomery St Urbana IL 61802-4744 Ph: (217) 621-8529 | Evolution Counseling Center, P.c. 1603 Montgomery St Urbana IL 61802-4744 Ph: (217) 621-8529 |
| NPI Number | 1285189803 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285189803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180004356 (Illinois) | Primary |
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