Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 180.006508 | IL |
NPI | 1003074022 |
---|---|
Provider Name | Kate S Evans |
First Address | Elgin, IL 60123-3002 |
Second Address | South Elgin, IL 60177-3005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 03/09/2021 |