Nancy Lynn Evans, LMFT

Individual provider Active NPI Marriage & Family Therapist · Piedmont, CA

NPI 1194548941 · NPPES record last updated Oct 31, 2024

Key facts

NPI
1194548941
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
97119 (CA)
Practice address
PO Box 20301
Piedmont, CA 94620-0301
Phone
(510) 290-3772
NPI assigned
Oct 31, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
97119CAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97119 CA Yes

Addresses

Primary practice location

PO Box 20301
Piedmont, CA 94620-0301

Mailing address

PO Box 20301
Piedmont, CA 94620-0301
Phone (510) 290-3772

Other providers in Piedmont, CA

All providers in Piedmont, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.