MS. REVA DAWN EVANS CADC NPI 1336131564

NPI Information

NPI: 1336131564
Provider Name: MS. REVA DAWN EVANS, CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
515 E BROADWAY
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 322-1407
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MS. Reva Dawn Evans, CADC is an addiction (substance use disorder) counselor in Council Bluffs, IA. MS. Reva Dawn Evans, CADC NPI is 1336131564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

515 E BROADWAY
COUNCIL BLUFFS, IA
ZIP 51503-419
Phone: (712) 322-1407
Fax: (712) 322-6837

The enumeration date for this NPI number is 8/15/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	01012	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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