Doctor Name: | ROSALIE MONTOYA |
NPI Number: | 1043262397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 00649C |
Business Practice Address: | 4538 W Craig Rd Suite 290 North Las Vegas, NV - 890322508 |
Business Phone Number: | 7022530818 |
Business Fax Number: | 7022539625 |
Mailing Address: | 4538 W Craig Rd, Suite 290 NORTH LAS VEGAS |
State: | NV |
Postal Code: | 890322508 |
Phone Number: | 7022530818 |
Fax Number: | 7022539625 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 00649C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |