Janet Eileen Evans, L.C.P.C.

Individual provider Active NPI Mental Health Counselor · Vandalia, IL

NPI 1164636601 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164636601
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
421 W Main St
Vandalia, IL 62471-2214
Phone
(618) 283-4229
Fax
(618) 283-9302
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180.001402ILMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Yes

Addresses

Primary practice location

421 W Main St
Vandalia, IL 62471-2214

Mailing address

211 Edward St.
Pierron, IL 62273-0587
Phone (618) 654-6946

Other providers in Vandalia, IL

All providers in Vandalia, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.