Individual
NICOLE R MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA, CPSW
Contact information
Practice address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
(505) 242-5302
Mailing address
3321 CANDELARIA RD NE STE 250, ALBUQUERQUE, NM 87107-1966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0572
NM
175T00000X
Peer Specialist
1495
NM
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17034710
—
NM
Enumeration date
05/18/2023
Last updated
02/10/2026
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