person
Jeremy Lynn Evans
Addiction (Substance Use Disorder) Counselor in North Bend, Oregon
NPI 1922761873

Jeremy Lynn Evans is an Addiction (Substance Use Disorder) Counselor based in Roseburg, OR and is specialized in Addiction (Substance Use Disorder). Jeremy Lynn Evans practices in North Bend, OR. The NPI Number for Jeremy Lynn Evans is 1922761873 and holds a License No. T-21-1194 (Oregon).

The current practice location address for Jeremy Lynn Evans is 400 Virginia Ave Ste 201, North Bend, OR and can be reached out via phone at 541-751-0357 and via fax at 541-751-9985.

Location: 400 Virginia Ave Ste 201, North Bend, OR, 97470-0254
person
Provider Profile Details
NPI Number
1922761873
Provider Name
Jeremy Lynn Evans
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 Virginia Ave Ste 201, North Bend, OR, 97470-0254
Phone Number
541-751-0357
Fax Number
541-751-9985
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Virginia Ave Ste 201
City
State
Zip
97459-3444
Phone Number
541-751-0357
Fax Number
541-751-9985
person
Provider Business Mailing Address Details
Address
400 Virginia Ave Ste 201
City
State
Zip
97459-3444
Phone Number
541-751-0357
Fax Number
541-751-9985
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-21-1194 (Oregon)
Definition
Definition to come...
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