| Doctor Name: | MS. EVELYN LOUISE CLOUGH |
| NPI Number: | 1124092655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP, CDCII |
| License Number: | 1091 |
| Business Practice Address: | 44539 Sterling Hwy Suite 105 Soldotna, AK - 996697938 |
| Business Phone Number: | 9072625324 |
| Business Fax Number: | 9072607464 |
| Mailing Address: | Po Box 1015, SOLDOTNA |
| State: | AK |
| Postal Code: | 996691015 |
| Phone Number: | 9072625324 |
| Fax Number: | 9072607464 |
| NPI Enumeration Date: | 02/13/2006 |
| NPI Last Update Date: | 06/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1091 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |