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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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