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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH R EVANS

Active

MR. KENNETH R EVANS is a Marriage & Family Therapist healthcare provider located in FAIRFIELD, California. NPI 1023158839 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · FAIRFIELD, CA

Registration Details

NPI Number
1023158839
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2007 (19.517091577007 yrs)
Last Updated
May 4, 2011
Licenses
47276 (CA)
65892 (CA)

Practice Information

Address
275 BECK AVE
FAIRFIELD, CA, 94533
Browse CA providers · Browse ZIP 94533
Phone
7077848189
Fax
7077847995
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in FAIRFIELD, CA

Name Credential NPI
CAROL SHEPPARD LEIMBACH MFT 1174513154
MS. ALEXIS MARIE RABOURN M.A., M.F.T. 1952410615
KENNETH UNDERWOOD MFT 1063523918
SUSAN ESTHER BLACK MFT 1598862575
MRS. JULIE ANN FESSENDEN MFT 1518065697
MRS. MARCIA MAE BARNETT LCSW MFT MSW 1063501690
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.