MEDICARE: PAULINA MONTES

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1437550720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINA MONTES

Provider Business Mailing Address
First Line	:	2540 GRANT ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94703-1948
Country	:	US
Telephone Number	:	510-502-2720
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 GRANT ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94703-1948
Country	:	US
Telephone Number	:	510-502-2720
Fax Number	:

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

Provider Enumeration Date	:	09/05/2014
Last Update Date	:	09/05/2014

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Directions to “ PAULINA MONTES ” Practice Location

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