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Individual
GABRIELLE ELISE MONTANA
Active
Individual
GABRIELLE ELISE MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8514-125
WI
101YP2500X
Professional Counselor
4631-226
WI
101YP2500X
Professional Counselor
8514-125
WI
Other
Enumeration date
09/28/2021
Last updated
08/05/2022
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