MR. BRUCE SANFORD EVANS LMFT LPC CSAC NPI 1861560963

NPI Information

NPI: 1861560963
Provider Name: MR. BRUCE SANFORD EVANS, LMFT, LPC, CSAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
11606 GORDON SCHOOL RD
RICHMOND, VA
ZIP 23236
Phone: (804) 378-6733
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MR. Bruce Sanford Evans, LMFT, LPC, CSAC is a professional counselor in Richmond, VA. MR. Bruce Sanford Evans, LMFT, LPC, CSAC NPI is 1861560963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11606 GORDON SCHOOL RD
RICHMOND, VA
ZIP 23236-513
Phone: (804) 378-6733
Fax: (804) 365-8575

The enumeration date for this NPI number is 11/30/2006 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	101YP2500X	Counselor	Professional	0701002999	VIRGINIA	Yes
2	106H00000X	Marriage & Family Therapist		0717000980	MONTANA	X
3	106H00000X	Marriage & Family Therapist		770	LOUISIANA	X
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)		VIRGINIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54-12145	MEDICAID	VIRGINIA

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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