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Individual

BYRD EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
AMFT

Contact information

Practice address
6074 ADELINE ST, EMERYVILLE, CA 94608-1424
(225) 931-2228
Mailing address
6074 ADELINE ST, EMERYVILLE, CA 94608-1424
(225) 931-2228

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
143331
CA

Other

Enumeration date
05/21/2024
Last updated
05/21/2024
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