Individual
KRISTEN ELIZABETH MONTIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
1373 SINCLAIR LN, JACKSONVILLE, FL 32221-2823
(619) 961-5801
Mailing address
1373 SINCLAIR LN, JACKSONVILLE, FL 32221-2823
(619) 961-5801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-007865-2015
FL
106H00000X
Marriage & Family Therapist
Primary
130482
CA
106H00000X
Marriage & Family Therapist
MT 2984
FL
Other
Enumeration date
08/27/2015
Last updated
03/05/2024
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