Individual
MR. MICHAEL MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
(877) 651-0289
Mailing address
841 LAKE DR, SANTA ROSA, NM 88435-2560
(575) 512-9082
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09888
NM
Other
Enumeration date
04/13/2017
Last updated
03/11/2025
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