Individual
ELIZABETH MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3012 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 615-1027
Mailing address
11 CIRRUS DR, CLAYTON, NC 27520-6002
(973) 262-0896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A15480
NC
101YP2500X
Professional Counselor
Primary
A15480
NC
Other
Enumeration date
11/04/2020
Last updated
11/23/2020
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