Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor |
NPI | 1336284124 |
---|---|
Provider Name | Irianna Montes |
First Address | Atascadero, CA 93423-0641 |
Second Address | Atascadero, CA 93422-1933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 25/03/2021 |