Evelyn A. Andalis, RN
Individual provider Active NPI Mental Health Counselor · Carson, CA
NPI 1538208285 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1538208285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- RN343149 (CA)
- Practice address
- 23609 Moneta Ave
Carson, CA 90745-5733 - Phone
- (213) 739-7332
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN343149 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RN343149 | CA | Yes |
Addresses
Primary practice location
23609 Moneta Ave
Carson, CA 90745-5733
Mailing address
23609 Moneta Ave
Carson, CA 90745-5733
Phone (213) 739-7332
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- Pamela Dell Anderson
- Robert Andres
- Kurt William Andrews
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All providers in Carson, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.