Earl Evangelista, MA

NPI #1053731661 in Elgin, Illinois

Provider Information

NPI Number: 1053731661
Entity Type: Individual
Name: Earl Evangelista, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MA
Enumeration Date: Apr 22, 2014
Last Updated: Apr 22, 2014

Practice Location

Address: 1140 N MCLEAN BLVD STE I
City: Elgin
State: Illinois
ZIP Code: 60123-1782
Phone: (847) 695-3680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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