person
Justin Montello
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1730729781

Justin Montello is an Addiction (Substance Use Disorder) Counselor based in El Cerrito, CA and is specialized in Addiction (Substance Use Disorder). Justin Montello practices in San Rafael, CA. The NPI Number for Justin Montello is 1730729781 and holds a License No. (California).

The current practice location address for Justin Montello is 103 Shoreline Pkwy Ste 201, San Rafael, CA and can be reached out via phone at 415-453-9980 and via fax at 415-453-6137.

Location: 103 Shoreline Pkwy Ste 201, San Rafael, CA, 94530-1949
person
Provider Profile Details
NPI Number
1730729781
Provider Name
Justin Montello
Credential
Provider Entity Type
Individual
Gender
Male
Address
103 Shoreline Pkwy Ste 201, San Rafael, CA, 94530-1949
Phone Number
415-453-9980
Fax Number
415-453-6137
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770656704 05 CA
1083069447 05 CA
institution
Provider Business Practice Location Address Details
Address
103 Shoreline Pkwy Ste 201
City
State
Zip
94901-5584
Phone Number
415-453-9980
Fax Number
415-453-6137
person
Provider Business Mailing Address Details
Address
103 Shoreline Pkwy Ste 201
City
State
Zip
94901-5584
Phone Number
415-453-9980
Fax Number
415-453-6137
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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