National Provider Identifier
Jerry Evans Jr., LMHC
Jerry Evans Jr., LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 200-7106.
Profile Overview
- NPI
- 1750975785
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 20, 2021
- Last Updated
- February 20, 2021
Practice Location
- 46 Prince St # Ll001
- Rochester, NY 14607-1023
Phone: (585) 200-7106
Mailing Address
- 144 Fairport Village Lndg # 109
- Fairport, NY 14450-1804
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1750975785
- Entity Type
- Individual
- Last Name
- Evans
- First Name
- Jerry
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- LMHC
- Mailing Street Address
- 144 Fairport Village Lndg # 109
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1804
- Mailing Country
- US
- Mailing Phone
- (585) 200-7106
- Mailing Fax
- (973) 253-4500
- Practice Street Address
- 46 Prince St # Ll001
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1023
- Practice Country
- US
- Practice Phone
- (585) 200-7106
- Practice Fax
- (973) 253-4500
- Enumeration Date
- February 20, 2021
- Last Updated
- February 20, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)