NPI 1083467062

Kacy Christine Evans

Practitioner Peer Specialist Longview, WA

Practice location

Address: 1128 Broadway St, Longview, WA 98632-3831
Phone: (360) 669-9825

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1083467062
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2024
Record last updated: 9 Apr 2024

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.