Individual
KARISSA LAUREN MONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(530) 307-3271
Mailing address
1501 N CAMBELL AVE, TUCSON, AZ 85724-0001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22595
AZ
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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