Individual
KIRK EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
3670 SHILOH UNITY RD, LANCASTER, SC 29720-7323
(718) 300-0985
Mailing address
3670 SHILOH UNITY RD, LANCASTER, SC 29720-7323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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