Individual
MR. JUSTIN MICHAEL ANTONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLMHP, PLADC, PCDGC
Contact information
Practice address
127 S 37TH ST STE B, LINCOLN, NE 68510-1502
(402) 476-2337
Mailing address
10157 E LILAC RD, BEATRICE, NE 68310-7404
(402) 239-7844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1391
NE
101YM0800X
Mental Health Counselor
Primary
11797
NE
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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