Individual
LEONTYNE LYNNETTE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 GRANT ST, OMAHA, NE 68111-3863
(402) 451-3553
Mailing address
10338 NEWPORT AVE, OMAHA, NE 68122-3019
(402) 830-1780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1952
NE
101YM0800X
Mental Health Counselor
Primary
13016
NE
Other
Enumeration date
02/23/2022
Last updated
07/13/2022
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