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Individual

MICHAEL MONTOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSAA

Contact information

Practice address
1600 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6734
(505) 404-0717
Mailing address
12100 MENAUL BLVD NE APT B, ALBUQUERQUE, NM 87112-2423
(612) 999-8135

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2026-0033
NM

Other

Enumeration date
01/19/2026
Last updated
01/19/2026
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