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MISS STEPHANIE EVANS PHD

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1689763898

Individual Registrant:
MISS STEPHANIE  EVANS PHD
Gender: F
Sole Proprietor

Location and contact information for practice:
309 3RD ST  SAUSALITO, CA 94965-2437 US
Tel: 415-331-3388  Fax: --

Contact information for business:
309 THIRD STREET  SAUSALITO, CA 94965 US
Tel: 415-331-3388  Fax: --

Registration Information:
NPI: 1689763898
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CAPSY#17758

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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