Individual
MRS. RICARDA ANNETTE MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
3430 E HIGHWAY 101 STE 3, PORT ANGELES, WA 98362-9069
(360) 450-4062
(360) 452-4189
Mailing address
3430 E HIGHWAY 101 STE 3, PORT ANGELES, WA 98362-9069
(360) 452-4062
(360) 452-4189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60133094
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60447172
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952474405
—
WA
Enumeration date
02/28/2013
Last updated
07/20/2023
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