Individual
MR. JUSTIN DEWAYNE EVANS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 GENTRY DAVIS, NATCHITOCHES, LA 71457
(318) 946-6073
Mailing address
820 GENTRY DAVIS ST, NATCHITOCHES, LA 71457-3762
(318) 946-6073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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