Nicholas Evans, LSW

NPI #1922799048 in Pocatello, Idaho

Provider Information

NPI Number: 1922799048
Entity Type: Individual
Name: Nicholas Evans, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: May 18, 2023
Last Updated: May 18, 2023

Practice Location

Address: 1001 N 7TH AVE STE 260
City: Pocatello
State: Idaho
ZIP Code: 83201-5788
Phone: (208) 515-1668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker	104100000X	Primary

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