Individual
LISA MARIE EVANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CACIII
Contact information
Practice address
360 28 RD, GRAND JUNCTION, CO 81501-4759
(970) 260-3321
Mailing address
360 28 RD, GRAND JUNCTION, CO 81501-4759
(970) 260-3321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6457
CO
101YM0800X
Mental Health Counselor
3092
CO
Other
Enumeration date
06/14/2007
Last updated
09/11/2025
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