Individual
CHRISTINE L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
214 S 4TH ST, IRONTON, OH 45638-1610
(740) 532-3767
(740) 532-3385
Mailing address
PO BOX 163, PORTSMOUTH, OH 45662-0163
(740) 377-5156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171628
OH
171M00000X
Case Manager/Care Coordinator
CDCA.171628
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321582
—
OH
Enumeration date
10/30/2018
Last updated
08/23/2021
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