| Mr Mackenzie Rick Evans, | |
|
541 S Ham Ln, Lodi, CA 95242-3530 | |
| (209) 747-7147 | |
| (209) 224-5076 |
| Full Name | Mr Mackenzie Rick Evans |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 541 S Ham Ln, Lodi, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477151843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mackenzie Rick Evans, 541 S Ham Ln Ste A&b, Lodi, CA 95242-3530 Ph: () - | Mr Mackenzie Rick Evans, 541 S Ham Ln, Lodi, CA 95242-3530 Ph: (209) 747-7147 |
Esperanza Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln Ste A&b, Lodi, CA 95242 Phone: 209-224-8940 | |
Jane Knox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5800 Fax: 209-340-5804 | |
Evelyn Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5800 | |
Ms. Jennifer Preap, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln Ste B, Lodi, CA 95242 Phone: 209-224-8940 | |
Patricia Josephine Block, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln, Lodi, CA 95242 Phone: 209-224-5076 | |
Curtis Perkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-7900 | |
Kathryn Josephine Trunnell, CATC Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 S Ham Ln, Suite A, Lodi, CA 95242 Phone: 209-224-8940 |