Individual
MS. REVA DAWN EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
(712) 322-6837
Mailing address
911 AVENUE I, COUNCIL BLUFFS, IA 51503-1851
(712) 323-4565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01012
IA
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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