Individual
MS. STACY RAE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
11434 B AVE, AUBURN, CA 95603-2603
(530) 889-8020
Mailing address
720 HOWE AVE, SACRAMENTO, CA 95825-4669
(916) 366-4600
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-AHWGCU
CA
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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