person
Cody Rudd Evans, LCPC
Mental Health Counselor in Pocatello, Idaho
NPI 1366756181

Cody Rudd Evans is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Cody Rudd Evans practices in Pocatello, ID and has the professional credentials of LCPC. The NPI Number for Cody Rudd Evans is 1366756181 and holds a License No. LCPC-4569 (Idaho).

The current practice location address for Cody Rudd Evans is 475 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-232-0021 and via fax at 208-232-0031.

Location: 475 Yellowstone Ave, Pocatello, ID, 83201-3072
person
Provider Profile Details
NPI Number
1366756181
Provider Name
Cody Rudd Evans
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
475 Yellowstone Ave, Pocatello, ID, 83201-3072
Phone Number
208-232-0021
Fax Number
208-232-0031
Provider Enumeration Date
08/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
475 Yellowstone Ave
City
State
Zip
83201-4528
Phone Number
208-232-0021
Fax Number
208-232-0031
person
Provider Business Mailing Address Details
Address
475 Yellowstone Ave
City
State
Zip
83201-4528
Phone Number
208-232-0021
Fax Number
208-232-0031
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-4569 (Idaho)
Definition
Definition to come...
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