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Mr. Jerry Don Evans JR.
Addiction (Substance Use Disorder) Counselor in Richmond, California
NPI 1790558013

Jerry Don Evans JR. is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Jerry Don Evans JR. practices in Richmond, CA. The NPI Number for Jerry Don Evans JR. is 1790558013 and holds a License No. C035739015 (California).

The current practice location address for Jerry Don Evans JR. is 1313 Cutting Blvd, Richmond, CA and can be reached out via phone at 510-232-0874.

Location: 1313 Cutting Blvd, Richmond, CA, 94601-1018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790558013
Provider Name
Jerry Don Evans JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1313 Cutting Blvd, Richmond, CA, 94601-1018
Phone Number
510-232-0874
Fax Number
Provider Enumeration Date
10/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1313 Cutting Blvd
City
Richmond
State
California
Zip
94804-2554
Phone Number
510-232-0874
Fax Number
person
Provider Business Mailing Address Details
Address
1313 Cutting Blvd
City
Richmond
State
California
Zip
94804-2554
Phone Number
510-232-0874
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C035739015 (California)
Definition
Definition to come...
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