Individual
MARIO MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
222 W UNION ST, MORGANTON, NC 28655-3787
(828) 475-1804
(828) 475-4143
Mailing address
222 W UNION ST, MORGANTON, NC 28655-3787
(828) 475-1804
(828) 475-4143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20123
NC
Other
Enumeration date
02/26/2014
Last updated
01/27/2020
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