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MISS STEPHANIE EVANS PHD
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1689763898
Individual Registrant:MISS STEPHANIE EVANS PHD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
309 3RD ST SAUSALITO, CA 94965-2437 US
Tel: 415-331-3388 Fax: --
Tel: 415-331-3388 Fax: --
Contact information for business:
309 THIRD STREET SAUSALITO, CA 94965 US
Tel: 415-331-3388 Fax: --
Tel: 415-331-3388 Fax: --
Registration Information:
NPI: 1689763898
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | CA | PSY#17758 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
