Individual
CRYSTAL ANN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC, LSW
Contact information
Practice address
1390 VALLEY RD STE 1B, STIRLING, NJ 07980-1346
(908) 350-8643
Mailing address
1390 VALLEY RD STE 1B, STIRLING, NJ 07980-1346
(908) 350-8643
(908) 350-8644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00257600
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05796600
NJ
Other
Enumeration date
10/30/2017
Last updated
02/03/2019
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