Individual provider · Type 1 NPI
Jacob Russell Evans
Addiction (Substance Use Disorder) Counselor · Nampa, ID
NPI number
1902780331
Active
Practice location
58 N Granite Falls Dr
Nampa, ID 83651-5198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 5120 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902780331
Jacob Russell Evans's National Provider Identifier is 1902780331, issued on Jul 31, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nampa, ID. The record was last updated on Jul 31, 2025.