Provider Information for 1124271093
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ALBERT JAMES EVANS LPCC-S
Other Names:Other Name:A. JAMES EVANS LPCC-SSex: Male
NPI: 1124271093
Last Updated: 2023-11-30
Certification Date: 2023-11-30
Certification Date: 2023-11-30
Details
Name | Value | ||||||||
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NPI | 1124271093 | ||||||||
Enumeration Date | 2008-10-23 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 600 KOEHLER DR SHARPSVILLE, PA 16150-1842 United States Phone: 330-885-2133 | Fax: | ||||||||
Primary Practice Address | 8261 MARKET ST BOARDMAN, OH 44512-6254 United States Phone: 330-286-0050 | Fax:330-286-0055 | ||||||||
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