Provider Demographics
NPI:1497492391
Name:EVANS, ARIEL (CADC-R)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 HUFF DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7370
Mailing Address - Country:US
Mailing Address - Phone:910-347-2205
Mailing Address - Fax:910-347-2216
Practice Address - Street 1:291 HUFF DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7370
Practice Address - Country:US
Practice Address - Phone:910-347-2205
Practice Address - Fax:910-347-2216
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCADC-28663101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)