Individual provider · Type 1 NPI

Jennifer Proctor Evans

Mental Health Counselor · Bristol, FL

NPI number 1740148089 Active

Practice location

10611 NW State Road 20
Bristol, FL 32321-3441

Call (850) 643-1033 Map

Mailing address

10474 NW Camelia St
Bristol, FL 32321-3393

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740148089

Jennifer Proctor Evans's National Provider Identifier is 1740148089, issued on Jan 14, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bristol, FL. The record was last updated on Jan 14, 2026.