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Jacob Russell Evans

NPI #1902780331 in Nampa, Idaho

Provider Information

NPI Number
1902780331
Entity Type
Individual
Name
Jacob Russell Evans
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 31, 2025
Last Updated
Jul 31, 2025

Practice Location

Address
58 N GRANITE FALLS DR
City
Nampa
State
Idaho
ZIP Code
83651-5198
Phone
(304) 839-5448

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)

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