Individual
AHNA MARIE MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 CALIFORNIA DR., VACAVILLE, CA 95696-2006
(707) 448-6841
Mailing address
PO BOX 22035, SACRAMENTO, CA 95822-0035
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY32575
CA
Other
Enumeration date
04/02/2009
Last updated
11/10/2021
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