CODY EVANS

POCATELLO, ID
NPI1366756181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-5425)
Enumeration Date2010-08-04
Last Update Date2026-06-03
Business Address
CODY EVANS LCPC
475 YELLOWSTONE AVE STE E
POCATELLO, ID 83201-4528
Phone number: 208-232-0021
Mailing Address
CODY EVANS LCPC
357 W CENTER ST STE 210
POCATELLO, ID 83204-3236
Phone number: 208-417-8255