Provider Demographics
NPI:1295388007
Name:MONTANO, KRISSEL AILYN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISSEL
Middle Name:AILYN
Last Name:MONTANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KRISSEL
Other - Middle Name:AILYN
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:607 E HOUSE ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-2959
Mailing Address - Country:US
Mailing Address - Phone:346-242-6663
Mailing Address - Fax:281-968-7539
Practice Address - Street 1:607 E HOUSE ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-2959
Practice Address - Country:US
Practice Address - Phone:346-242-6663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-20
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55182104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker