Individual
SUNNY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4800 KIM DR, POCATELLO, ID 83204-4920
(435) 590-1071
Mailing address
4800 KIM DR, POCATELLO, ID 83204-4920
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10109
ID
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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