NPI 1003010711 LISA MARIE EVANICH MA, LPC, CACIII GRAND JUNCTION CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Lisa Marie Evanich - NPI: 1003010711

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: LISA MARIE EVANICH
NPI Number: 1003010711
Entity Type Code: Individual (1)
Gender: F
Credentials: MA, LPC, CACIII
License Number: 6457
Business Practice Address: 360 28 Rd
Grand Junction, CO - 815014759
Business Phone Number: 9702603321
Business Fax Number:
Mailing Address: 360 28 Rd,
GRAND JUNCTION
State: CO
Postal Code: 815014759
Phone Number: 9702603321
Fax Number:
NPI Enumeration Date: 06/14/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 6457
Healthcare Provider Taxonomy:
(Secondary)
X
State: CO
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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