Provider Demographics
NPI:1295904043
Name:MWANGI, EVANGELINE WANGECHI (MA LPC)
Entity type:Individual
Prefix:
First Name:EVANGELINE
Middle Name:WANGECHI
Last Name:MWANGI
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-3124
Mailing Address - Country:US
Mailing Address - Phone:704-293-3352
Mailing Address - Fax:
Practice Address - Street 1:538 E 9TH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-3124
Practice Address - Country:US
Practice Address - Phone:704-293-3352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor