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Individual
JOSE MONTALVO
Active
Individual
JOSE MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000667
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008044401
—
CT
01
—
1174607253
MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM
CT
Enumeration date
11/13/2013
Last updated
11/13/2013
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