Individual
MADISON MONTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
17505 N 79TH AVE STE 407, GLENDALE, AZ 85308-8732
(480) 498-7600
Mailing address
17505 N 79TH AVE STE 407, GLENDALE, AZ 85308-8732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23229
AZ
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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