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Contact Information

LISA M EVANICH, MA, LPC, CACIII
360 28 RD
GRAND JUNCTION, CO81501-4759
 Phone: 970-260-3321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LISA M EVANICH · (Female)

NPI # 1003010711
Status Active
Credentials MA, LPC, CACIII
Entity Individual
Enumeration date 06/14/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 3092
  • CO License # 6457
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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