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Individual

MR. NATHAN RYAN EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCA

Contact information

Practice address
1030 CENTRAL DR NW, CONCORD, NC 28027-4296
(704) 966-7988
Mailing address
409 RIVERGLEN DR NW, CONCORD, NC 28027-2524
(704) 966-7988

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A12675
NC

Other

Enumeration date
12/20/2016
Last updated
12/20/2016
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