Individual
JENNETTE MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 CANAL ST, NEW YORK, NY 10013-4512
(212) 966-9537
Mailing address
181 CANAL ST, NEW YORK, NY 10013-4512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
5832
NY
Other
Enumeration date
06/26/2020
Last updated
12/17/2025
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