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Individual
CODY EVANS
Active
Individual
CODY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-4569
ID
101YM0800X
Mental Health Counselor
Primary
LCPC-5425
ID
101YM0800X
Mental Health Counselor
LPC4569
ID
Other
Enumeration date
08/04/2010
Last updated
06/03/2026
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