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NPI 1225907835

NPI 1225907835 : RIDGELINE CLINICAL COUNSELING PLLC : GILBERT, AZ

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General NPI Number Information
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    NPI Number           |    1225907835
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIDGELINE CLINICAL COUNSELING PLLC 
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Dates
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    Enumeration Date     |    11/03/2025
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    Last Update Date     |    11/03/2025
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Provider Practice Location Address
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    Address Line         |    459 N GILBERT RD STE A213 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234-4771
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    Country              |    US
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    Telephone            |    480-810-4997
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    Fax                  |    480-214-3178
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Provider Business Mailing Address
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    Address Line         |    459 N GILBERT RD STE A213 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234-4771
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    Country              |    US
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    Telephone            |    480-810-4997
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    Fax                  |    480-214-3178
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. JOHN ERIK MONTANO 
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    Credential           |    LAC
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    Telephone            |    480-810-4997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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