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MR. CHARLES EDWARD EVANS CADC CPADAC

Addiction Substance Use Disorder

Council Bluffs, Iowa

Provider NPI: 1881686210

Provider Information:
MR. CHARLES EDWARD EVANS CADC CPADAC
Gender: M


Practice Location:
515 E BROADWAY  COUNCIL BLUFFS, IA 51503 US
Tel: 712-322-1407  Fax: 712-322-6833

Business Mailing Address:
5606 FORT ST  OMAHA, NE 68104 US
Tel: 402-455-8325  Fax: 402-455-4682

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
IAG01096626









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