Mr. Kenneth R Evans
Mr. Kenneth R Evans is a Marriage & Family Therapist in Fairfield, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
275 Beck AveFairfield, CA 94533
Phone: (707) 784-8189
Fax: (707) 784-7995
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 65892 (CA) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 47276 (CA) |
Record details
| NPI number | 1023158839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 8, 2007 |
| Last updated in NPPES | May 4, 2011 |
| Mailing address | 275 Beck Ave, Fairfield, CA 94533 |
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