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Individual

MR. DAVID JOSEPH MONTECINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC, ADCR-MN, NCPT3

Contact information

Practice address
15 WASHINGTON ST, SUITE 4, BRAINERD, MN 56401-3351
(612) 454-2456
Mailing address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 763-0063

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302378
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
04/06/2011
Last updated
08/14/2024
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