MEDICARE: AMANDA EVANS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC008330	PA

General Provider Information

NPI Number	:	1740654581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA EVANS LPC

Provider Business Mailing Address
First Line	:	8960 HILL DR
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-3112
Country	:	US
Telephone Number	:	724-861-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	8960 HILL DR
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-3112
Country	:	US
Telephone Number	:	724-861-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2015
Last Update Date	:	11/17/2015

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Directions to “ AMANDA EVANS LPC” Practice Location

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