EVAN J DIVIS

LINCOLN, NE
NPI1306227657
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  10533)
Enumeration Date2015-06-12
Last Update Date2015-06-12
Business Address
-- EVAN J DIVIS PLMHP
245 S 84TH ST STE 212
LINCOLN, NE 68510-2600
Phone number: 402-261-9273
Mailing Address
-- EVAN J DIVIS PLMHP
PO BOX 1763
GRAND ISLAND, NE 68802-1763
Phone number: 308-395-1067
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