Provider Demographics
NPI:1245670041
Name:HOWARD, EVELYN (LCSW, CACII)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSW, CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 STATE FARM RD STE 506
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5392
Mailing Address - Country:US
Mailing Address - Phone:828-268-7200
Mailing Address - Fax:
Practice Address - Street 1:895 STATE FARM RD STE 506
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5392
Practice Address - Country:US
Practice Address - Phone:828-268-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health