Individual
ANTONIO MONTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3824 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2011
(936) 558-6200
Mailing address
3824 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2011
(936) 558-6200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
81803
TX
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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