person
Mallory Evans
Mental Health Counselor in Canton, Ohio
NPI 1114309994

Mallory Evans is a Mental Health Counselor based in Canton, OH and is specialized in Mental Health. Mallory Evans practices in Canton, OH. The NPI Number for Mallory Evans is 1114309994 and holds a License No. CDCA.160336-PRE (Ohio).

The current practice location address for Mallory Evans is 625 Cleveland Ave Nw, Canton, OH and can be reached out via phone at 330-455-0374 and via fax at 330-455-2101.

Location: 625 Cleveland Ave Nw, Canton, OH, 44714-2605
person
Provider Profile Details
NPI Number
1114309994
Provider Name
Mallory Evans
Credential
Provider Entity Type
Individual
Gender
Female
Address
625 Cleveland Ave Nw, Canton, OH, 44714-2605
Phone Number
330-455-0374
Fax Number
330-455-2101
Provider Enumeration Date
06/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2584314 05 OH
institution
Provider Business Practice Location Address Details
Address
625 Cleveland Ave Nw
City
State
Zip
44702-1805
Phone Number
330-455-0374
Fax Number
330-455-2101
person
Provider Business Mailing Address Details
Address
625 Cleveland Ave Nw
City
State
Zip
44702-1805
Phone Number
330-455-0374
Fax Number
330-455-2101
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C1500355 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CDCA.160336-PRE (Ohio)
Definition
Definition to come...
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