JASON ROSS ANTKIES LADC NPI 1588901706

NPI Information

NPI: 1588901706
Provider Name: JASON ROSS ANTKIES, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
369 MAIN ST
LEWISTON, ME
ZIP 04240
Phone: (207) 782-3386
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Jason Ross Antkies, LADC is an addiction (substance use disorder) counselor in Lewiston, ME. Jason Ross Antkies, LADC NPI is 1588901706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

369 MAIN ST
LEWISTON, ME
ZIP 04240-030
Phone: (207) 782-3386

The enumeration date for this NPI number is 1/8/2013 and was last updated on 1/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LC5263	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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