Individual
VINCENT JOHN ANTONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
501 EUCLID AVE, HELENA, MT 59601-2865
(406) 449-5796
Mailing address
501 EUCLID AVE, HELENA, MT 59601-2865
(406) 449-5796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
49997
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49997
LICENSED ADDICTIONS COUNSELOR
MT
Enumeration date
08/09/2021
Last updated
08/09/2021
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