Healthcare Provider Details

I. General information

NPI: 1942411640
Provider Name (Legal Business Name): DAVID MONTEE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 E OCEAN AVE SUTIE B
LOMPOC CA
93436-7000
US

IV. Provider business mailing address

730 RAYMOND AVE
SANTA MARIA CA
93455-2758
US

V. Phone/Fax

Practice location:
  • Phone: 805-735-7525
  • Fax:
Mailing address:
  • Phone: 805-938-5442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: