Jerrold Max Evington

NPI #1063786515 in Yadkinville, North Carolina

Provider Information

NPI Number: 1063786515
Entity Type: Individual
Name: Jerrold Max Evington
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 1, 2012
Last Updated: Jul 31, 2013

Practice Location

Address: 320 E LEE AVE
City: Yadkinville
State: North Carolina
ZIP Code: 27055-8132
Phone: (336) 679-8805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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