Individual
MICHELLE MARIE MONTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC II CADC
Contact information
Practice address
5 DOVER ST., NEW BEDFORD, MA 02740
(508) 984-4155
(508) 994-4514
Mailing address
5 DOVER ST., NEW BEDFORD, MA 02740
(508) 984-4155
(508) 994-4514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13021
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1637
MA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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