| Doctor Name: | DR. CRYSTAL ROSE EVANS |
| NPI Number: | 1003048299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1592 |
| Business Practice Address: | 138 East Boundary Street Browning, MT - 59417 |
| Business Phone Number: | 4063385559 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2255, BROWNING |
| State: | MT |
| Postal Code: | 594172255 |
| Phone Number: | 4063384461 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2009 |
| NPI Last Update Date: | 07/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1592 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |