Provider Demographics
NPI:1972752749
Name:EVAN, TITA SANTINI (MA)
Entity Type:Individual
Prefix:MS
First Name:TITA
Middle Name:SANTINI
Last Name:EVAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:921 COUNTRY CLUB RD
Mailing Address - Street 2:222
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2257
Mailing Address - Country:US
Mailing Address - Phone:541-686-6000
Mailing Address - Fax:541-344-8239
Practice Address - Street 1:921 COUNTRY CLUB RD
Practice Address - Street 2:222
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2257
Practice Address - Country:US
Practice Address - Phone:541-686-6000
Practice Address - Fax:541-344-8239
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health