Individual
JESSICA R MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6330 RIVERSIDE PLAZA LN NW STE 260, ALBUQUERQUE, NM 87120-2160
(505) 226-2839
(505) 295-2559
Mailing address
6105 JAMERS DR NW, ALBUQUERQUE, NM 87120-3217
(505) 382-3464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0216901
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32308507
—
NM
Enumeration date
02/20/2016
Last updated
08/02/2021
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