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

CODY RUDD EVANS, LCPC

Active Sole Proprietor

CODY RUDD EVANS, LCPC is a Mental Health Counselor healthcare provider located in POCATELLO, Idaho. NPI 1366756181 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · POCATELLO, ID

Registration Details

NPI Number
1366756181
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2010 (15.982601521795 yrs)
Last Updated
Jun 15, 2016
Licenses
LCPC-4569 (ID)
LPC4569 (ID)
Sole Proprietor
Yes

Practice Information

Address
475 YELLOWSTONE AVE
STE E
POCATELLO, ID, 832014528
Browse ID providers · Browse ZIP 83201
Phone
2082320021
Fax
2082320031
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in POCATELLO, ID

Name Credential NPI
MR. BRANDON REX BROWNING LCPC 1083648323
DR. LORRAINE GERLACH ED.D. 1932212685
MARY PAUL MOLLER LMFT 1972615219
MICHAEL L STEVENS LCSW 1013013010
SHAWN AKINA LCPC 1134217771
MS. RIT LARAE NAUMAN LCPC 1003989658
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.