Evans, Susan Annette

Evans, Susan Annette is an individual health care provider with primary practice located at 1308 Cradduck Rd , Ada OK 74820-8442. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Evans, Susan Annette can be contacted via phone (580) 332-3699.

Contact Information

Primary practice address
1308 Cradduck Rd Ada OK 74820-8442
Phone: (580) 332-3699
Fax: (580) 421-9828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3398 Oklahoma

Profile Details

NPI number 1952423147
LBN Legal business name Evans, Susan Annette
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952423147 NPPES
Oklahoma Other 3398 LPC

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