Individual
YVETTE MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
412 SIPAPU ST, TAOS, NM 87571-6498
(575) 770-9513
Mailing address
PO BOX 1351, TAOS, NM 87571-1351
(505) 463-6342
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0204531
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47372257
—
NM
Enumeration date
02/17/2016
Last updated
02/12/2021
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