Individual
BERNADETTE MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
2301 7TH ST, LAS VEGAS, NM 87701-4966
(505) 454-9611
(505) 454-8079
Mailing address
2301 7TH ST STE A, LAS VEGAS, NM 87701-4966
(505) 454-9611
(505) 454-8079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0182471
NM
101YM0800X
Mental Health Counselor
Primary
0182471
NM
Other
Enumeration date
10/03/2016
Last updated
10/06/2016
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