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NPI Code Detail

MEDICARE: ABELINO A MONTANO CAC III

MEDICARE: ABELINO A MONTANO CAC III
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor5425CO
2101YA0400XAddiction (Substance Use Disorder) Counselor5425CO

General Provider Information

NPI Number : 1336466374
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABELINO A MONTANO CAC III
Provider Business Mailing Address
First Line : 2560 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3712
Country : US
Telephone Number : 303-477-8280
Fax Number :
Provider Business Practice Location Address
First Line : 2560 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3712
Country : US
Telephone Number : 303-477-8280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2010
Last Update Date : 04/30/2010

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Directions to “ ABELINO A MONTANO CAC III” Practice Location

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