| NPI | 1275644056 |
|---|---|
| Other Name | TIM EVANS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC002386) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 000708) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 7252) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 2217) | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional (Licence: TX 10310) | |
| 104100000X Social Worker (Licence: TX 23423) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-06-16 |