Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYMOND ROBERT ANTONSEN, MS, LAC
Active Sole ProprietorRAYMOND ROBERT ANTONSEN, MS, LAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CHOTEAU, Montana. NPI 1003683202 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CHOTEAU, MT
Registration Details
- NPI Number
- 1003683202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2023 (2.7164887570551 yrs)
- Last Updated
- Jan 2, 2024
- License
-
BBH-LAC-LIC-5017 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 OTHALA LNCHOTEAU, MT, 594229031Browse MT providers · Browse ZIP 59422
- Phone
- 4064662591
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.