Whalio Doctors

NPI 1003042011

Dave Scott Evans, MSCADC

Practitioner Addiction (Substance Use Disorder) Counselor Carbondale, IL

Practice location

Address
604 East College, Carbondale, IL 62901
Phone
(618) 457-6703
Fax
(618) 529-4563

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 22067 (IL)

Registry record

NPI
1003042011
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jun 2009
Record last updated
4 Jun 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.