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Provider Information for 1538585336


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ANITA D EVANS LMFT


Sex: Female

NPI: 1538585336
Last Updated: 2024-11-27
Certification Date: 2024-11-27

Details

NameValue
NPI1538585336
Enumeration Date2014-03-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 282
PEWEE VALLEY, KY 40056-0282
United States

Phone: 502-526-1966 | Fax:
 
Primary Practice Address PO BOX 282
PEWEE VALLEY, KY 40056-0282
United States

Phone: 502-526-1966 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist KY174590