Individual provider · Type 1 NPI

Jeremy Evans

Mental Health Counselor · Santa Monica, CA

NPI number 1154983195 Active

Practice location

905 Pico Blvd
Santa Monica, CA 90405-1326

Call (310) 314-6200 Map

Fax (310) 450-2024

Mailing address

2644 30th St Ste 100
Santa Monica, CA 90405-3051

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR1349750619 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1154983195

Jeremy Evans's National Provider Identifier is 1154983195, issued on Jun 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Monica, CA. The record was last updated on Jun 30, 2019.