Individual
SHANNON MONTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
56 GOLF COURSE RD, WHITEHALL, NY 12887-4208
(518) 499-0259
Mailing address
56 GOLF COURSE RD, WHITEHALL, NY 12887-4208
(518) 499-0259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000673
VT
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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