Individual provider · Type 1 NPI
Kathleen McCrea Evans, LCPC
Professional Counselor · Brunswick, ME
NPI number
1063758340
Active
Practice location
11 Medical Center Drive
Brunswick, ME 04011-2690
Fax (207) 373-9418
Mailing address
78 Atlantic Place
South Portland, ME 04106-2316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CC4671 (ME) |
Professional Counselor: Definition to come...
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About NPI 1063758340
Kathleen McCrea Evans, LCPC's National Provider Identifier is 1063758340, issued on Dec 14, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brunswick, ME. The record was last updated on May 5, 2016.