Provider Demographics
NPI:1851712152
Name:EVANOW, MARGARET (MS, LPCC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:EVANOW
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:MCALISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1269 W 31ST ST
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92405-1913
Mailing Address - Country:US
Mailing Address - Phone:909-723-3887
Mailing Address - Fax:
Practice Address - Street 1:1421 E. COOLEY DR.
Practice Address - Street 2:STE. 9
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324
Practice Address - Country:US
Practice Address - Phone:909-723-3887
Practice Address - Fax:909-352-2477
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-04
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPC 378101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional