| Cody Rudd Evans, LCPC | |
|
475 Yellowstone Ave, Ste E, Pocatello, ID 83201-4528 | |
| (208) 232-0021 | |
| (208) 232-0031 |
| Full Name | Cody Rudd Evans |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 475 Yellowstone Ave, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366756181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-4569 (Idaho) | Primary |
| 101YM0800X | Counselor - Mental Health | LPC4569 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Rudd Evans, LCPC 1110 Call Creek Dr., Suite 7, Pocatello, ID 83201-3072 Ph: (208) 233-2032 | Cody Rudd Evans, LCPC 475 Yellowstone Ave, Ste E, Pocatello, ID 83201-4528 Ph: (208) 232-0021 |
Ms. Dedra Christine Sanna, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 | |
Courtney Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Garrett Way, Ste 2, Pocatello, ID 83201 Phone: 208-233-7832 | |
Christina Strauch, SE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159 | |
Ms. Rit Larae Nauman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3330 Highway 30 W, Pocatello, ID 83201 Phone: 208-234-9100 Fax: 208-234-9104 | |
Michael L Stevens, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 109 N Arthur Ave Ste 203, Pocatello, ID 83204 Phone: 208-234-4673 Fax: 208-234-4677 | |
Mrs. Cassidy Michelle Roske, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 | |
Matthew R Christensen, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 5230 W Moonlight Mine Rd., Pocatello, ID 83201 Phone: 208-351-3956 |