Esteban Montano, AMFT

Individual provider Active NPI Marriage & Family Therapist · Winters, CA

NPI 1669955647 · NPPES record last updated Sep 14, 2018

Key facts

NPI
1669955647
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
106607 (CA)
Practice address
200 Baker Street Room 4 & 5
Winters, CA 95694
Phone
(530) 794-6000
NPI assigned
Sep 14, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
106607CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Innovations in Social Economics, Incorporated Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106607 CA Yes

Addresses

Primary practice location

200 Baker Street Room 4 & 5
Winters, CA 95694

Mailing address

17317 Fremont St
Esparto, CA 95627-2137
Phone (530) 787-4110

Other practice location 1

17317 Fremont St
Esparto, CA 95627-2137
Phone (530) 794-6000

Other providers in Winters, CA

All providers in Winters, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.