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Individual

MR. DAVE SCOTT EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CADC

Contact information

Practice address
604 EAST COLLEGE, CARBONDALE, IL 62901
(618) 457-6703
(618) 529-4563
Mailing address
604 EAST COLLEGE, CARBONDALE, IL 62901
(618) 457-6703
(618) 529-4563

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22067
IL

Other

Enumeration date
06/04/2009
Last updated
06/04/2009
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