Individual
GABRIELLE ELISE MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
3185 DEER POINT DR STE A, STOUGHTON, WI 53589-3773
(608) 873-7838
Mailing address
5944 SEMINOLE CENTRE CT STE 130, FITCHBURG, WI 53711-5019
(815) 914-4010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8514-125
WI
101YP2500X
Professional Counselor
4631-226
WI
101YP2500X
Professional Counselor
8514-125
WI
Other
Enumeration date
09/28/2021
Last updated
08/05/2022
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