Evensen, James

Evensen, James is an individual health care provider with primary practice located at 40 Reidsville Dr , Palm Coast FL 32164-6636. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Evensen, James can be contacted via phone (321) 947-1938.

Contact Information

Primary practice address
40 Reidsville Dr Palm Coast FL 32164-6636
Phone: (321) 947-1938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1942557889
LBN Legal business name Evensen, James
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2012
Last updated Nov 22nd, 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.

Request for update

Popular Providers