Individual
MR. JESS LEE MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(510) 747-0513
Mailing address
3433 W SHAW AVE STE 102, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
167G00000X
Licensed Psychiatric Technician
33173
CA
167G00000X
Licensed Psychiatric Technician
Primary
PT33173
CA
Other
Enumeration date
03/15/2007
Last updated
07/19/2023
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