Individual provider · Type 1 NPI

Raven Evan

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1700624848 Active

Practice location

300 N Willow St
Wasilla, AK 99654-7042

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Peer Specialist 175T00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700624848

Raven Evan's National Provider Identifier is 1700624848, issued on Jul 15, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wasilla, AK. The record was last updated on Sep 2, 2026.