Individual provider · Type 1 NPI
Samuel Ray Evans, LPC
Professional Counselor · Athens, GA
NPI number
1396225298
Active
Practice location
1135 Cedar Shoals Dr Ste B
Athens, GA 30605-5299
Fax (888) 267-4454
Mailing address
365 Crestwood Dr
Athens, GA 30605-3913
Other practice locations
- 3735 Harrison Rd Ste 400, Loganville, GA 30052-8895 · (770) 466-7374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC002604 (GA) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1396225298
Samuel Ray Evans, LPC's National Provider Identifier is 1396225298, issued on Aug 20, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athens, GA. The record was last updated on Aug 20, 2018.