Individual
RANDALL L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
615 N ALABAMA ST, SUITE 320, INDIANAPOLIS, IN 46204-1430
(317) 634-6341
(317) 464-9575
Mailing address
615 N ALABAMA ST, SUITE 320, INDIANAPOLIS, IN 46204-1430
(317) 634-6341
(317) 464-9575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000158A
IN
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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