Individual
JEFFREY B EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1260 H ST, GREELEY, CO 80631-9115
(970) 351-6678
(970) 346-9800
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
(970) 346-9800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB-7483
CO
101YP2500X
Professional Counselor
Primary
LPC-11303
CO
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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