Doctor Name: | MR. JAMES STEWART EVANS |
NPI Number: | 1053457309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 2339 |
Business Practice Address: | 300 Office Park Dr Suite 220 Mountain Brk, AL - 352232474 |
Business Phone Number: | 2055383099 |
Business Fax Number: | 2055383099 |
Mailing Address: | 3416 Deerwood Cir, HOOVER |
State: | AL |
Postal Code: | 352164816 |
Phone Number: | 2059787507 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2339 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |