RAYMOND ROBERT ANTONSEN

CHOTEAU, MT
NPI1003683202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  BBH-LAC-LIC-5017)
Enumeration Date2023-12-07
Last Update Date2024-01-02
Business Address
RAYMOND ROBERT ANTONSEN MS, LAC
20 OTHALA LN
CHOTEAU, MT 59422-9031
Phone number: 406-466-2591
Mailing Address
RAYMOND ROBERT ANTONSEN MS, LAC
PO BOX 477
CHOTEAU, MT 59422-0477
Phone number: 406-466-2591
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