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Individual
MAYRA DALIA MONTANO
Active
Individual
MAYRA DALIA MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
82012
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82012
BOARD OF BEHAVIORAL SCIENCE
CA
Enumeration date
09/08/2010
Last updated
05/29/2025
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