DWAYNE CORDALE EVANS CDP
NPI 1871068031
Counselor - Addiction (Substance Use Disorder) in Bellevue, WA
Active since October 03, 2018
About Dwayne Cordale Evans Cdp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DWAYNE CORDALE EVANS CDP (NPI 1871068031) is an individual addiction (substance use disorder) provider in Bellevue, Washington and active in the NPI registry since October 2018.
NPPES Registry Identity
NPI1871068031
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDWAYNE CORDALE EVANSCredential: CDP
Location Address999 164TH AVE NEBellevue, WA 98008-3518
Mailing Address999 164th Ave NeBellevue, WA 98008-3518 · (425) 747-4937
Phone(425) 747-4937
Sole ProprietorNo
Enumeration DateOctober 3, 2018
✔ NPI 1871068031 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
999 164TH AVE NE, Bellevue, WA 98008
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871068031, enumerated as an "individual" on October 03, 2018.
The provider is located at 999 164TH AVE NE BELLEVUE, WA 98008 and the phone number is (425) 747-4937.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
