CHARLES EDWARD EVANS

COUNCIL BLUFFS, IA
NPI1881686210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  G01096626)
Enumeration Date2005-08-22
Last Update Date2007-07-08
Business Address
Mr. CHARLES EDWARD EVANS CADC CPADAC
515 E BROADWAY
COUNCIL BLUFFS, IA 51503-4419
Phone number: 712-322-1407
Mailing Address
Mr. CHARLES EDWARD EVANS CADC CPADAC
5606 FORT ST
OMAHA, NE 68104-1740
Phone number: 402-455-8325
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