| Doctor Name: | MR. JESS LEE MONTOYA |
| NPI Number: | 1114051000 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.T. |
| License Number: | |
| Business Practice Address: | 1904 Richland Ave Ceres, CA - 953074562 |
| Business Phone Number: | 5107470513 |
| Business Fax Number: | |
| Mailing Address: | 2172 Sharon Way, MODESTO |
| State: | CA |
| Postal Code: | 953502559 |
| Phone Number: | 5599367926 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 01/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |