Individual
EDGAR MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2716 SAN PEDRO DR NE, STE D, ALBUQUERQUE, NM 87110-3331
(505) 220-0975
Mailing address
1108 MADISON ST SE, ALBUQUERQUE, NM 87108-4414
(505) 220-0975
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0069951
NM
Other
Enumeration date
11/06/2006
Last updated
10/08/2019
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