Individual provider · Type 1 NPI

Georgina Evangelista

Mental Health Counselor · Willoughby, OH

NPI number 1083127153 Active

Practice location

38882 Mentor Ave
Willoughby, OH 44094-7875

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083127153

Georgina Evangelista's National Provider Identifier is 1083127153, issued on Nov 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Willoughby, OH. The record was last updated on Nov 13, 2017.