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Individual

JAMES EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
603 BUCKLE CT, SAN ANTONIO, TX 78258-4888
(210) 382-6715
Mailing address
603 BUCKLE CT, SAN ANTONIO, TX 78258-4888
(210) 382-6715

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13639
TX
104100000X
Social Worker
Primary
60937
TX

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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