MEDICARE: CATHERINE MONTOYA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	102L00000X	Psychoanalyst
3	171M00000X	Case Manager/Care Coordinator
4	171R00000X	Interpreter
5	174H00000X	Health Educator
6	376J00000X	Homemaker
7	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1275317596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE MONTOYA

Provider Business Mailing Address
First Line	:	3197 N MICHAEL WAY APT C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-8807
Country	:	US
Telephone Number	:	702-596-5935
Fax Number	:

Provider Business Practice Location Address
First Line	:	3197 N MICHAEL WAY APT C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-8807
Country	:	US
Telephone Number	:	702-596-5935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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Directions to “ CATHERINE MONTOYA ” Practice Location

Language	Start Address	Practice Location

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