Individual
MR. ROBERTO MONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2855 BRIARCLIFF RD., ATLANTA, GA 30329-2501
(404) 636-4394
Mailing address
265 RISEN STAR LN, ALPHARETTA, GA 30005-7873
(404) 502-7957
(770) 751-0453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC 000692
GA
101YM0800X
Mental Health Counselor
Primary
LPC 000692
GA
101YP2500X
Professional Counselor
LPC000692
GA
101YS0200X
School Counselor
LPC000692
GA
106H00000X
Marriage & Family Therapist
LPC000692
GA
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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