Doctor Name: | MS. DARCIE LINN EVANS |
NPI Number: | 1164533402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 110335 |
Business Practice Address: | 126 Main St Nantucket, MA - 025542123 |
Business Phone Number: | 5088252552 |
Business Fax Number: | 5088250831 |
Mailing Address: | 126 Main St, Po Box 49 NANTUCKET |
State: | MA |
Postal Code: | 025542123 |
Phone Number: | 5088252552 |
Fax Number: | 5088250831 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 04/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 110335 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |