Jacob Russell Evans
Counselor, Addiction (Substance Use Disorder) in Nampa, ID. Individual provider (NPI-1).
NPI number1902780331
StatusActive
Last updated in NPPESJul 31, 2025
Details
- NPI
- 1902780331
- Entity type
- Individual (NPI-1)
- Name
- Jacob Russell Evans
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2025
- Certification date
- Jul 31, 2025
- Last updated
- Jul 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 5120 | ID | Yes |
Practice location
58 N Granite Falls DrNampa, ID 83651-5198
Phone 304-839-5448
Mailing address
58 N Granite Falls DrNampa, ID 83651-5198
Phone 304-839-5448
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Other Addiction (Substance Use Disorder) Counselor providers in Nampa, ID
- Walter Albert Bogucki, CADCNPI 1104259027
- Eliot CheukNPI 1831928886
- Jonna ClaytonNPI 1245682376
- Community Counseling Services LLCNPI 1972261162
- Joseph Cuningham, LPCNPI 1578974036
- Debra D Davis, CADCNPI 1972318343
- Saroj Groebler, ADCNPI 1962371930
- Oscar Guerrero, CADCNPI 1770044083
- Heal 2 Overcome IncorporatedNPI 1720797681
- Marilyn Nmi Hiller, LCSW-32496NPI 1093571960
All 18 Addiction (Substance Use Disorder) Counselor providers in Nampa · All 2,783 providers in Nampa
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