Individual
MRS. JOLINE HATHAWAY MONTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LMT
Contact information
Practice address
4290 COUNTY ROAD 203, DURANGO, CO 81301-3715
(970) 259-9469
Mailing address
4290 COUNTY ROAD 203, DURANGO, CO 81301-3715
(970) 259-9469
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
LMT #MA25257
FL
174400000X
Specialist
Primary
LPC 1381
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1381
LICENSED PROF COUNSELOR
CO
01
—
MA25257
LICENSED MASSAGETHERAPIST
FL
Enumeration date
06/11/2007
Last updated
07/08/2007
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