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1750975785
JERRY EVANS
ROCHESTER, NY
NPI
1750975785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 2874)
Enumeration Date
2021-02-20
Last Update Date
2021-02-20
Business Address
Mr. JERRY EVANS LMHC
46 PRINCE ST # LL001
ROCHESTER, NY 14607-1023
Phone number: 585-200-7106
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Mailing Address
Mr. JERRY EVANS LMHC
144 FAIRPORT VILLAGE LNDG # 109
FAIRPORT, NY 14450-1804
Phone number: 585-200-7106
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