Individual
JESSICA GABRIELLE MONTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHCA
Contact information
Practice address
330 S YORK ST, GASTONIA, NC 28052-4052
(704) 864-6573
(704) 864-9791
Mailing address
330 S YORK ST, GASTONIA, NC 28052-4052
(704) 864-6573
(704) 864-9791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15481
NC
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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