MEDICARE: TANIA MONTERO

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	106H00000X	Marriage & Family Therapist	131253	CA

General Provider Information

NPI Number	:	1710482799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIA MONTERO

Provider Business Mailing Address
First Line	:	1402 W PICO AVE # 208
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-1377
Country	:	US
Telephone Number	:	442-235-9103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 W PICO AVE # 208
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-1377
Country	:	US
Telephone Number	:	442-235-9103
Fax Number	:

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

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	02/04/2026

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Directions to “ TANIA MONTERO ” Practice Location

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