Evans, Nicole
Evans, Nicole is an individual health care provider with primary practice located at 2447 Summerfield Rd , Santa Rosa CA 95405-7815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Evans, Nicole can be contacted via phone (707) 544-3299.Contact Information
Primary practice address
2447 Summerfield Rd
Santa Rosa CA 95405-7815
Phone: (707) 544-3299
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | PCCI1754 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF81116 | California |
Profile Details
NPI number | 1316308844 |
---|---|
LBN Legal business name | Evans, Nicole |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2016 |
Last updated | Mar 10th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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