Individual provider · Type 1 NPI

Jerry Don Evans Jr.

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1790558013 Active

Practice location

1313 Cutting Blvd
Richmond, CA 94804-2554

Call (510) 232-0874 Map

Mailing address

2321 International Blvd
Oakland, CA 94601-1018

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC035739015 (CA)

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

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About NPI 1790558013

Jerry Don Evans Jr.'s National Provider Identifier is 1790558013, issued on Oct 31, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on Oct 31, 2023.