Individual provider · Type 1 NPI
Justin Montello
Addiction (Substance Use Disorder) Counselor · San Rafael, CA
NPI number
1730729781
Active
Practice location
103 Shoreline Pkwy Ste 201
San Rafael, CA 94901-5584
Fax (415) 453-6137
Mailing address
6410 Schmidt Ln Apt C202
El Cerrito, CA 94530-1949
Other practice locations
- 171 Carlos Dr, San Rafael, CA 94903-2005 · (619) 356-1396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1730729781
Justin Montello's National Provider Identifier is 1730729781, issued on Jan 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Nov 27, 2023.