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Individual
DR. TIMOTHY JOHN EVANS
Active
Individual
DR. TIMOTHY JOHN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD LPC CAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
01007858
MI
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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