Individual provider · Type 1 NPI

Monty Massie

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1619355575 Active

Practice location

2403 Professional Dr Ste 101
Santa Rosa, CA 95403-3007

Mailing address

2403 Professional Dr
Santa Rosa, CA 95403-3007

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619355575

Monty Massie's National Provider Identifier is 1619355575, issued on May 12, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on May 12, 2015.