Most Relevant Information
Provider Data
| NPI Number: | 1003347386 |
| Provider Name: | STEPHANIE LYNN EVANS-WONDRA M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | R3417 |
Most Important Dates
| Enumeration Date: | 03/27/2017 |
| Last Updated: | 03/27/2017 |
Provider Practice Location
1220 34TH PL
FLORENCE
OR
974398936
Practice Location Phone/Fax
| Phone: | 5419999154 |
| Fax: |
Provider Mailing Location
1220 34TH PL
FLORENCE
OR
974398936
Provider Mailing Phone/Fax
| Phone: | 5419999154 |
| Fax: |