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Provider Information for 1124271093


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ALBERT JAMES EVANS LPCC-S


Other Names:  
Other Name: 
A. JAMES EVANS LPCC-S

Sex: Male

NPI: 1124271093
Last Updated: 2023-11-30
Certification Date: 2023-11-30

Details

NameValue
NPI1124271093
Enumeration Date2008-10-23
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalOHE.0001141-SUPV