Individual provider · Type 1 NPI

Jacqueline Evans, A.A., R.A.S.

Addiction (Substance Use Disorder) Counselor · Rancho Cucamonga, CA

NPI number 1801006739 Active

Practice location

9375 Archibald Ave, Suite 204
Rancho Cucamonga, CA 91730-5729

Fax (909) 989-0249

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XE0504101428 (CA)

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

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About NPI 1801006739

Jacqueline Evans, A.A., R.A.S.'s National Provider Identifier is 1801006739, issued on May 22, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 8, 2007.