Individual provider · Type 1 NPI
Justin Dewayne Evans I
Mental Health Counselor · Natchitoches, LA
NPI number
1104365097
Active
Practice location
820 Gentry Davis
Natchitoches, LA 71457
Mailing address
820 Gentry Davis St
Natchitoches, LA 71457-3762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104365097
Justin Dewayne Evans I's National Provider Identifier is 1104365097, issued on Feb 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Natchitoches, LA. The record was last updated on Feb 13, 2017.