Individual
MR. CHARLES EDWARD EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CADC CPADAC
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
(712) 322-6833
Mailing address
5606 FORT ST, OMAHA, NE 68104-1740
(402) 455-8325
(402) 455-4682
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
G01096626
IA
Other
Enumeration date
08/22/2005
Last updated
07/08/2007
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