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1730729781
JUSTIN MONTELLO
SAN RAFAEL, CA
NPI
1730729781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-07
Last Update Date
2023-11-27
Business Address
JUSTIN MONTELLO
103 SHORELINE PKWY STE 201
SAN RAFAEL, CA 94901-5584
Phone number: 415-453-9980
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Mailing Address
JUSTIN MONTELLO
6410 SCHMIDT LN APT C202
EL CERRITO, CA 94530-1949
Phone number: 425-463-5711
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