Individual
JAMES EDWARD MONFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Contact information
Practice address
333 N MAIN ST, LIMA, OH 45801-4434
(419) 234-1174
Mailing address
1937 WENDELL AVE, LIMA, OH 45805-3162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
021379
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/28/2018
Last updated
02/28/2018
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