| Doctor Name: | CHARLES EVANS |
| NPI Number: | 1013107671 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2471 E Walnut St Pasadena, CA - 911073394 |
| Business Phone Number: | 6267935141 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1194, HOLLISTER |
| State: | CA |
| Postal Code: | 950241194 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2007 |
| NPI Last Update Date: | 01/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |