Whalio Doctors

NPI 1003000449

Jaclyn Ann Evans, PSYD

Practitioner Mental Health Counselor Ansonia, CT

Practice location

Address
435 E Main St, Ansonia, CT 06401-1964
Phone
(203) 736-2905
Mailing address
PO Box 658 435 East Main Street, Ansonia, CT 06401-0658

Registered specialties (2)

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Registry record

NPI
1003000449
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Aug 2007
Record last updated
17 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.