Provider Demographics
NPI:1265030134
Name:EVANS, ANTON DANTE (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ANTON
Middle Name:DANTE
Last Name:EVANS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 AUDOBON AVE APT 304
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55077-1618
Mailing Address - Country:US
Mailing Address - Phone:612-872-1477
Mailing Address - Fax:952-448-6047
Practice Address - Street 1:5310 AUDOBON AVE APT 304
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55077-1618
Practice Address - Country:US
Practice Address - Phone:612-872-1477
Practice Address - Fax:952-448-6047
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3842101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health