Evans, Kristin L
Evans, Kristin L is an sole proprietor health care provider with primary practice located at 214 E Mendenhall St , Bozeman MT 59715-3638. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Kristin L can be contacted via phone (406) 922-0861.Contact Information
Primary practice address
214 E Mendenhall St
Bozeman MT 59715-3638
Phone: (406) 922-0861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 645LCSW | Montana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW4581 | Tennessee |
Profile Details
| NPI number | 1790841856 |
|---|---|
| LBN Legal business name | Evans, Kristin L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2006 |
| Last updated | Nov 16th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790841856 | NPPES |
| Montana | MEDICAID | 0503319 | |
| Montana | Other | 70815 |
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