MONTY MASSIE

SANTA ROSA, CA
NPI1619355575
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-12
Last Update Date2015-05-12
Business Address
-- MONTY MASSIE
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
Mailing Address
-- MONTY MASSIE
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403-3007
Phone number: