Individual provider · Type 1 NPI

Antina Michelle Antilia, CADC-R

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1033608575 Active

Practice location

3397 Delta Waters Rd
Medford, OR 97504-5852

Fax (541) 858-7593

Mailing address

12890 Quinta Way
Desert Hot Springs, CA 92240-4852

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033608575

Antina Michelle Antilia, CADC-R's National Provider Identifier is 1033608575, issued on May 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Feb 28, 2022.