Joni Antonia, LCCSW

NPI #1013161090 in Fulton, Missouri

Provider Information

NPI Number: 1013161090
Entity Type: Individual
Name: Joni Antonia, LCCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCCSW
Enumeration Date: Nov 4, 2008
Last Updated: Mar 22, 2019

Practice Location

Address: 1 UNIVERSITY AVE
City: Fulton
State: Missouri
ZIP Code: 65251-2388
Phone: (808) 589-1829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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