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MR. CHARLES EDWARD EVANS CADC CPADAC 1881686210

Overview
Name: MR. CHARLES EDWARD EVANS CADC CPADAC Specialty: Addiction (Substance Use Disorder) Counselor Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers Classification: Counselor Specialization: Addiction (Substance Use Disorder). Definition of Specialty: Definition to come…
License & NPI
License #(s): G01096626, , , , License State(s): IA, , , ,
Addresses
Practice Location: 515 E BROADWAY,COUNCIL BLUFFS,IA,515034419,US Mailing Address: 5606 FORT ST,OMAHA,NE,681041740,US
Contact #
Practice location phone #: 7123221407 Practice location fax #: 7123226833 Mailing address Phone #: 4024558325 Mailing Address fax #: 4024554682 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/22/2005 Last data data was updated: 07/08/2007 Insurances:
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