Individual
ALVA MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW 99869
Contact information
Practice address
1234 EMPIRE ST STE 2200, FAIRFIELD, CA 94533-5711
(707) 439-7830
Mailing address
1234 EMPIRE ST STE 2200, FAIRFIELD, CA 94533-5711
(707) 439-7830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
ASW99868
CA
Other
Enumeration date
06/13/2013
Last updated
05/22/2023
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