Provider Demographics
NPI:1114531043
Name:EVANS, KATHERINE E (LCPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:EVANS
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N MICHIGAN AVE STE 1927
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3614
Mailing Address - Country:US
Mailing Address - Phone:312-324-4838
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE STE 1927
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3614
Practice Address - Country:US
Practice Address - Phone:312-324-4838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.015381101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional