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William Evans
Professional Counselor in Rockford, Illinois
NPI 1801955372

William Evans is a Professional Counselor based in Rockford, IL and is specialized in Professional. William Evans practices in Rockford, IL. The NPI Number for William Evans is 1801955372 and holds a License No. (Illinois).

The current practice location address for William Evans is 210 N Longwood St, Rockford, IL and can be reached out via phone at 815-962-5585.

Location: 210 N Longwood St, Rockford, IL, 61107-4134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801955372
Provider Name
William Evans
Credential
Provider Entity Type
Individual
Gender
Male
Address
210 N Longwood St, Rockford, IL, 61107-4134
Phone Number
815-962-5585
Fax Number
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0028140710 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
210 N Longwood St
City
Rockford
State
Illinois
Zip
61107-4134
Phone Number
815-962-5585
Fax Number
person
Provider Business Mailing Address Details
Address
210 N Longwood St
City
Rockford
State
Illinois
Zip
61107-4134
Phone Number
815-962-5585
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Illinois)
Definition
Definition to come...
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