Individual
MS. JENNIFER MONTEMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER COUNSELOR
Contact information
Practice address
425 E MAIN ST STE 600, OTHELLO, WA 99344-1146
(509) 488-5611
(509) 488-0166
Mailing address
425 E MAIN ST STE 600, OTHELLO, WA 99344-1146
(509) 488-5611
(509) 488-0166
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60819886
WA
Other
Enumeration date
02/16/2018
Last updated
12/04/2018
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