Mark Cunningham Evans
Mark Cunningham Evans is an Addiction (Substance Use Disorder) Counselor in Provo, Utah. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1726 Buckley LnProvo, UT 84606-5031
Phone: (801) 373-6562
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1912243197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 17, 2012 |
| Last updated in NPPES | December 17, 2012 |
| Mailing address | 1775 N 800 W, Pleasant Grove, UT 84062 |
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