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Kim Evans
Professional Counselor in Wister, Oklahoma
NPI 1437582145

Kim Evans is a Professional Counselor based in Wister, OK and is specialized in Professional. Kim Evans practices in Wister, OK. The NPI Number for Kim Evans is 1437582145 and holds a License No. (Oklahoma).

The current practice location address for Kim Evans is 23611 Wolf Valley Rd, Wister, OK and can be reached out via phone at 918-839-4695.

Location: 23611 Wolf Valley Rd, Wister, OK, 74966-2945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437582145
Provider Name
Kim Evans
Credential
Provider Entity Type
Individual
Gender
Female
Address
23611 Wolf Valley Rd, Wister, OK, 74966-2945
Phone Number
918-839-4695
Fax Number
Provider Enumeration Date
08/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200497090 05 OK
institution
Provider Business Practice Location Address Details
Address
23611 Wolf Valley Rd
City
Wister
State
Oklahoma
Zip
74966-2945
Phone Number
918-839-4695
Fax Number
person
Provider Business Mailing Address Details
Address
23611 Wolf Valley Rd
City
Wister
State
Oklahoma
Zip
74966-2945
Phone Number
918-839-4695
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
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Definition
Definition to come...
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