Evans Clark
Evans Clark is a Mental Health Counselor in Mattoon, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
750 Broadway Ave EMattoon, IL 61938-4610
Phone: (217) 238-5700
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1477057727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2018 |
| Last updated in NPPES | March 21, 2018 |
| Mailing address | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
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Kelly M. Childress, BA
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Victoria Lynn Cisneros, BA
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Megan C Compton, BS
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750 Broadway Ave E, Mattoon, IL 61938-4610 · (217) 238-5700
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750 Broadway Ave E, Mattoon, IL 61938-4610 · (217) 238-5735