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General NPI Number Information
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NPI Number | 1063330199
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Entity Type | Organization
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Legal Business Name | MONTI BEHAVIORAL LLC
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 222 DEPOT ST STE B
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City | WAUSEON
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State | OH
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Zip | 43567-1386
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Country | US
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Telephone | 520-213-5457
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Fax |
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Provider Business Mailing Address
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Address Line | 642 E ELM ST
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City | WAUSEON
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State | OH
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Zip | 43567-1416
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Country | US
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Telephone | 520-213-5457
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Fax |
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Authorized Official
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Title or Position | CEO/COUNSELOR
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Name | JULIO ADRIAN SAAVEDRA MONTIJO
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Credential | LICDC, LIAC, LCAC
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Telephone | 520-213-5457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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