Individual
ANNISSA MONTESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6110 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1894
(423) 680-1707
Mailing address
6110 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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