Individual
EMMANUEL MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31640 STATE ROUTE 20, SUITE 1, OAK HARBOR, WA 98277-3128
(360) 679-7676
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60543845
WA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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