| Lisa C. Evans, Ma, Lpc Counseling Agency | |
|
808 S Ballard Ave Suite 100 Wylie TX 75098-4224 | |
| (972) 522-8448 | |
| (972) 429-2164 |
| Full Name | Lisa C. Evans, Ma, Lpc Counseling Agency |
|---|---|
| Speciality | Counselor - Professional |
| Location | 808 S Ballard Ave, Wylie, Texas |
| Authorized Official Name and Position | Lisa Carol Evans (CEO) |
| Authorized Official Contact | 9725228448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C. Evans, Ma, Lpc Counseling Agency Po Box 2214 Wylie TX 75098-2214 Ph: (972) 522-8448 | Lisa C. Evans, Ma, Lpc Counseling Agency 808 S Ballard Ave Suite 100 Wylie TX 75098-4224 Ph: (972) 522-8448 |
| NPI Number | 1164757290 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 01/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164757290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65594 (Texas) | Primary |
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