Individual
REBECCA JANE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC INTERN
Contact information
Practice address
220 E HORIZON DR, SUITE G, HENDERSON, NV 89015-8035
(702) 565-5004
Mailing address
1023 SANTA YNEZ AVE, HENDERSON, NV 89002-9012
(702) 321-9516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01964-I
NV
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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