Donna E. Evans, CM-A/BHRS

Individual provider Active NPI Mental Health Counselor · Chandler, OK

NPI 1992718696 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992718696
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
112 McKinley Ave
1605 East 15 Street
Chandler, OK 74834-1622
Phone
(405) 258-3040
Fax
(405) 240-5008
NPI assigned
Aug 14, 2006
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

112 McKinley Ave
1605 East 15 Street
Chandler, OK 74834-1622

Mailing address

2013 Primrose LN
Chandler, OK 74834-9518
Phone (405) 406-2585

Other providers in Chandler, OK

All providers in Chandler, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.