Healthcare Provider Details

I. General information

NPI: 1427758549
Provider Name (Legal Business Name): ALEJANDRA MONTES TEPOZTECO MHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 05/14/2023
Certification Date: 05/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 DELA VINA AVE
MONTEREY CA
93940-3974
US

IV. Provider business mailing address

343 DELA VINA AVE
MONTEREY CA
93940-3974
US

V. Phone/Fax

Practice location:
  • Phone: 831-440-7030
  • Fax: 831-647-3004
Mailing address:
  • Phone: 831-440-7030
  • Fax: 831-647-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: