Individual
MRS. CHRISTAL NICOLE MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMHC, CASAC
Contact information
Practice address
2006 MADISON AVE, NEW YORK, NY 10035-1217
(212) 979-8800
Mailing address
2006 MADISON AVE, NEW YORK, NY 10035-1217
(212) 979-8800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002134-1
NY
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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