Individual
MRS. ADA MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MENTAL HEALTH COUNSE
Contact information
Practice address
510 COACH LN, TEMPLE TERRACE, FL 33617-3717
(646) 358-6816
Mailing address
7509 KEY LARGO DR APT 411, WINTER PARK, FL 32792-6900
(813) 363-1631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19397
FL
101YM0800X
Mental Health Counselor
Primary
MC61491834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19397
PROVISIONAL MENTAL HEALTH COUNSELOR LICENSE
FL
Enumeration date
10/23/2019
Last updated
09/28/2023
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