Viola Montano

Individual provider Active NPI Counselor · Tucumcari, NM

NPI 1619201571 · NPPES record last updated Sep 25, 2009

Key facts

NPI
1619201571
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
1110 E High St
Tucumcari, NM 88401-2510
Phone
(575) 461-4411
Fax
(575) 461-4102
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

1110 E High St
Tucumcari, NM 88401-2510

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220
Phone (505) 471-5006

Other providers in Tucumcari, NM

All providers in Tucumcari, NM · Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.