person
Mr. Mackenzie Rick Evans
Addiction (Substance Use Disorder) Counselor in Lodi, California
NPI 1477151843

Mackenzie Rick Evans is an Addiction (Substance Use Disorder) Counselor based in Lodi, CA and is specialized in Addiction (Substance Use Disorder). Mackenzie Rick Evans practices in Lodi, CA. The NPI Number for Mackenzie Rick Evans is 1477151843 and holds a License No. (California).

The current practice location address for Mackenzie Rick Evans is 541 S Ham Ln, Lodi, CA and can be reached out via phone at 209-747-7147 and via fax at 209-224-5076.

Location: 541 S Ham Ln, Lodi, CA, 95242-3530
person
Provider Profile Details
NPI Number
1477151843
Provider Name
Mackenzie Rick Evans
Credential
Provider Entity Type
Individual
Gender
Male
Address
541 S Ham Ln, Lodi, CA, 95242-3530
Phone Number
209-747-7147
Fax Number
209-224-5076
Provider Enumeration Date
10/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
541 S Ham Ln
City
State
Zip
95242-3530
Phone Number
209-747-7147
Fax Number
209-224-5076
person
Provider Business Mailing Address Details
Address
541 S Ham Ln
City
State
Zip
95242-3530
Phone Number
209-747-7147
Fax Number
209-224-5076
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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