Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 16387 | ZZ |
NPI | 1164809224 |
---|---|
Provider Name | Narciso Montas |
First Address | Cutler Bay, FL 33157-6720 |
Second Address | Cutler Bay, FL 33157-6720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2015 |
Last Update Date | 28/04/2015 |