Individual provider · Type 1 NPI

Mark Cunningham Evans

Addiction (Substance Use Disorder) Counselor · Provo, UT

NPI number 1912243197 Active

Practice location

1726 Buckley Ln
Provo, UT 84606-5031

Call (801) 373-6562 Map

Mailing address

1775 N 800 W
Pleasant Grove, UT 84062

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1912243197

Mark Cunningham Evans's National Provider Identifier is 1912243197, issued on Dec 17, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Provo, UT. The record was last updated on Dec 17, 2012.