Individual
MICHELLE ELISE MONTONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
1486 BROADWAY, UNIT B, SOUTH PORTLAND, ME 04106-2602
(207) 468-0340
Mailing address
1486 BROADWAY, SOUTH PORTLAND, ME 04106-2602
(207) 468-0340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL3640
ME
Other
Enumeration date
11/19/2010
Last updated
05/31/2013
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