Individual
CURTIS EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-G/CPP-G
Contact information
Practice address
17520 HILLSIDE AVE STE 2, JAMAICA, NY 11432-5732
(347) 210-2943
(718) 558-7230
Mailing address
704 N BROADWAY, YONKERS, NY 10701-1712
(347) 210-2943
(718) 658-5913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10181
NY
101YM0800X
Mental Health Counselor
—
—
405300000X
Prevention Professional
706
NY
Other
Enumeration date
09/14/2017
Last updated
09/21/2017
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