Kacy Christine Evans

NPI #1083467062 in Longview, Washington

Provider Information

NPI Number: 1083467062
Entity Type: Individual
Name: Kacy Christine Evans
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 9, 2024
Last Updated: Apr 9, 2024

Practice Location

Address: 1128 BROADWAY ST
City: Longview
State: Washington
ZIP Code: 98632-3831
Phone: (360) 669-9825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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