JENNIFER LYNN MONTIEL

SAN JOSE, CA
NPI1811515919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1374141219)
Enumeration Date2020-07-06
Last Update Date2020-07-06
Business Address
JENNIFER LYNN MONTIEL RADT
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-998-5191
Mailing Address
JENNIFER LYNN MONTIEL RADT
158 E SAINT JOHN ST APT 607
SAN JOSE, CA 95112-5595
Phone number: 408-449-2910