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NPI Code Detail

MEDICARE: ALBERT JAMES EVANS LPCC-S

MEDICARE:   ALBERT JAMES EVANS  LPCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.0001141-SUPVOH

General Provider Information

NPI Number : 1124271093
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT JAMES EVANS LPCC-S
Provider Business Mailing Address
First Line : 600 KOEHLER DR
Second Line :
City : SHARPSVILLE
State : PA
Zip : 16150-1842
Country : US
Telephone Number : 330-885-2133
Fax Number :
Provider Business Practice Location Address
First Line : 8261 MARKET ST
Second Line :
City : BOARDMAN
State : OH
Zip : 44512-6254
Country : US
Telephone Number : 330-286-0050
Fax Number : 330-286-0055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2008
Last Update Date : 11/30/2023

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Directions to “ ALBERT JAMES EVANS LPCC-S” Practice Location

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