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1710465877 NPI number — JENNA ELIZABETH MONTALBANO LACMH, CADC

NPI Number: 1710465877
Health Care Provider/Practitioner: JENNA ELIZABETH MONTALBANO LACMH, CADC

Information about “1710465877” NPI (JENNA ELIZABETH MONTALBANO LACMH, CADC) exists in 1710465877 in HTML format HTML  |  1710465877 in plain Text format TXT  |  1710465877 in PDF (Portable Document Format) PDF  |  1710465877 in an XML format XML  formats.

NPI Number : 1710465877 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710465877",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MONTALBANO",
    "FirstName": "JENNA",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LACMH, CADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILLIAMS",
    "OtherFirstName": "JENNA",
    "OtherMiddleName": "E MONTALBANO",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LPCMH",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "226 W PARK PLACE",
    "SecondLineMailingAddress": "STE 6",
    "MailingAddressCityName": "NEWARK",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19711",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-827-7280",
    "MailingAddressFaxNumber": "302-520-3014",
    "FirstLinePracticeLocationAddress": "226 W PARK PLACE",
    "SecondLinePracticeLocationAddress": "STE 6",
    "PracticeLocationAddressCityName": "NEWARK",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19711",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-827-7280",
    "PracticeLocationAddressFaxNumber": "302-520-3014",
    "EnumerationDate": "08/01/2018",
    "LastUpdateDate": "09/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "PC-0011717",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "AC-0010361",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "37AC00682200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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