Individual
JACLYN ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
435 E MAIN ST, ANSONIA, CT 06401-1964
(203) 736-2905
Mailing address
PO BOX 658, 435 EAST MAIN STREET, ANSONIA, CT 06401-0658
(203) 736-2905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
09/17/2009
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