NPI 1003683202 · live from the CMS NPI Registry
Raymond Robert Antonsen, MS, LAC
Counselor, Addiction (Substance Use Disorder) in Choteau, MT. National Provider Identifier 1003683202, active.
NPI record
| NPI | 1003683202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 20 Othala Ln, Choteau, MT 59422 |
| Practice phone | 406-466-2591 |
| Mailing address | Po Box 477, Choteau, MT 59422 |
| Enumerated | December 7, 2023 |
| Last updated | January 2, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | BBH-LAC-LIC-5017 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.