Individual
RICHARD K EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC
Contact information
Practice address
222 E COTTONWOOD LN, CASA GRANDE, AZ 85222
(520) 421-9910
(520) 421-0078
Mailing address
222 E COTTONWOOD LN, CASA GRANDE, AZ 85222
(520) 421-9910
(520) 421-0078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
748915
—
AZ
01
—
LPC-10481
LPC LICENSE
AZ
Enumeration date
10/04/2006
Last updated
07/09/2007
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