Jacob Russell Evans
Jacob Russell Evans is an Addiction (Substance Use Disorder) Counselor in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2025.
- Licensed in
- ID
- In the registry since
- 2025
Practice location Address checks out
58 N Granite Falls DrNampa, ID 83651-5198
Phone: (304) 839-5448
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 5120 (ID) |
|---|
Record details
| NPI number | 1902780331 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 31, 2025 |
| Last updated in NPPES | July 31, 2025 |
| Certification date | July 31, 2025 |
| Mailing address | 58 N Granite Falls Dr, Nampa, ID 83651-5198 |
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