Provider Demographics
NPI:1669106860
Name:JOYCE, EVAN JAMES (CADC)
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:JAMES
Last Name:JOYCE
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 CARR ST
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-6146
Mailing Address - Country:US
Mailing Address - Phone:630-677-4813
Mailing Address - Fax:
Practice Address - Street 1:620 N STATE ROUTE 31
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60012-3714
Practice Address - Country:US
Practice Address - Phone:855-786-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)