Provider Demographics
NPI:1063654473
Name:MONTEON, JULIAN JAIME (MA)
Entity Type:Individual
Prefix:MR
First Name:JULIAN
Middle Name:JAIME
Last Name:MONTEON
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7483 NEWCOMB ST
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92410-4361
Mailing Address - Country:US
Mailing Address - Phone:562-569-0658
Mailing Address - Fax:
Practice Address - Street 1:1777 ATLANTA AVE STE G1
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-7417
Practice Address - Country:US
Practice Address - Phone:951-778-3500
Practice Address - Fax:951-274-9865
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)