Organization
EDGAR MONTES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR R MONTES LMFT (FAMILY THERAPIST)
(505) 220-0975
Entity
Organization
Contact information
Practice address
1108 MADISON ST SE, ALBUQUERQUE, NM 87108-4414
(505) 220-0975
Mailing address
1108 MADISON ST SE, ALBUQUERQUE, NM 87108-4414
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0069951
NM
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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