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Individual
NICOLE R MONTOYA
Active
Individual
NICOLE R MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA, CPSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0572
NM
175T00000X
Peer Specialist
1495
NM
Other
Enumeration date
05/18/2023
Last updated
02/10/2026
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