Individual provider · Type 1 NPI
Raymond Robert Antonsen, MS, LAC
Addiction (Substance Use Disorder) Counselor · Choteau, MT
NPI number
1003683202
Active
Practice location
20 Othala Ln
Choteau, MT 59422-9031
Mailing address
PO Box 477
Choteau, MT 59422-0477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | BBH-LAC-LIC-5017 (MT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1003683202
Raymond Robert Antonsen, MS, LAC's National Provider Identifier is 1003683202, issued on Dec 7, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Choteau, MT. The record was last updated on Jan 2, 2024.