Thomas Evans, Amanda Marie

Thomas Evans, Amanda Marie is an individual health care provider with primary practice located at 808 Main St E , Menomonie WI 54751-2735. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Thomas Evans, Amanda Marie can be contacted via phone (715) 231-2702.

Contact Information

Primary practice address
808 Main St E Menomonie WI 54751-2735
Phone: (715) 231-2702
Fax: (715) 232-5987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Professional 101YP2500X 925-226 Wisconsin

Profile Details

NPI number 1801105341
LBN Legal business name Thomas Evans, Amanda Marie
Credentials PHD LPC NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2010
Last updated Oct 5th, 2010 - about 14 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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