Mr. Mackenzie Rick Evans
Mr. Mackenzie Rick Evans is an Addiction (Substance Use Disorder) Counselor in Lodi, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
541 S Ham LnLodi, CA 95242-3530
Phone: (209) 747-7147
Fax: (209) 224-5076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1477151843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 16, 2020 |
| Last updated in NPPES | October 26, 2020 |
| Certification date | October 26, 2020 |
| Mailing address | 541 S Ham Ln Ste A&B, Lodi, CA 95242-3530 |
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