Roger Evenson, LCSW-44535
Roger Evenson, LCSW-44535 is a Mental Health Counselor in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2021.
- Licensed in
- ID
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
3076 N Five Mile RdBoise, ID 83713-5215
Phone: (208) 376-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LCSW-44535 (ID) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence LMSW-40940 (ID) |
Record details
| NPI number | 1164091559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW-44535 |
| Sole proprietor | No |
| NPI enumerated | June 21, 2021 |
| Last updated in NPPES | February 2, 2024 |
| Certification date | February 2, 2024 |
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