Individual provider · Type 1 NPI

Theresa Eileen Evans

Mental Health Counselor · Utica, NY

NPI number 1417855503 Active

Practice location

1612 Genesee St
Utica, NY 13502-5425

Fax (315) 724-5323

Mailing address

100 Oxford Rd
New Hartford, NY 13413-2649

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417855503

Theresa Eileen Evans's National Provider Identifier is 1417855503, issued on Oct 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Utica, NY. The record was last updated on Oct 28, 2026.