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Individual

MISS AMADA MONTELONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000
Mailing address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CA
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
F1389827
CA
225400000X
Rehabilitation Practitioner

Other

Enumeration date
04/03/2020
Last updated
04/01/2021
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