Individual
MR. ANTHONY CHARLES MASCARENAS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LAC
Contact information
Practice address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521-9073
(406) 395-1618
Mailing address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521-9073
(406) 395-1618
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/23/2015
Last updated
03/06/2024
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