Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 131196 | OH |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CDCA 111551 | OH |
Y | 101YM0800X | Mental Health Counselor | E.1100094 | OH |
N | 101YP2500X | Professional Counselor | C 1100094 | OH |
NPI | 1003160185 |
---|---|
Provider Name | Amy M Monteith |
First Address | Dayton, OH 45417-3424 |
Second Address | Dayton, OH 45417-3424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2012 |
Last Update Date | 30/09/2014 |