Individual provider · Type 1 NPI

Jaclyn Ann Evans, PSY.D.

Mental Health Counselor · Ansonia, CT

NPI number 1003000449 Active

Practice location

435 E Main St
Ansonia, CT 06401-1964

Mailing address

PO Box 658, 435 East Main Street
Ansonia, CT 06401-0658

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003000449

Jaclyn Ann Evans, PSY.D.'s National Provider Identifier is 1003000449, issued on Aug 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ansonia, CT. The record was last updated on Sep 17, 2009.