Individual
ALICE M MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACIII
Contact information
Practice address
720 N MAIN ST STE 240, PUEBLO, CO 81003-3046
(719) 569-7909
Mailing address
27108 WOBURN ABBEY DR, PUEBLO, CO 81006-9762
(719) 821-6830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0007268
CO
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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