Individual provider · Type 1 NPI

Antonio Evans

Mental Health Counselor · Bastrop, LA

NPI number 1245706316 Active

Practice location

406 Tisdale Dr
Bastrop, LA 71220-3747

Call (189) 974-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245706316

Antonio Evans's National Provider Identifier is 1245706316, issued on Oct 16, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bastrop, LA. The record was last updated on Dec 7, 2018.