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Individual

MR. MONTAS JUDELL EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10543 S CRATER RD, SOUTH PRINCE GEORGE, VA 23805-7333
(800) 805-6989
Mailing address
10543 S CRATER RD, SOUTH PRINCE GEORGE, VA 23805-7333

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
02/21/2022
Last updated
02/21/2022
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