Individual
JOHN B EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW
Contact information
Practice address
6915 TUTT BLVD STE 110B, COLORADO SPRINGS, CO 80923-3591
(719) 445-1292
(719) 591-6486
Mailing address
1065 NE 125TH ST STE 409, NORTH MIAMI, FL 33161-5834
(888) 852-6672
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
27844
TX
1041C0700X
Clinical Social Worker
Primary
CSW.09923278
CO
Other
Enumeration date
07/26/2007
Last updated
02/03/2020
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