Provider Demographics
NPI:1417261546
Name:MONTAZER, PAMELA MONDONNA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:MONDONNA
Last Name:MONTAZER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 VON KARMAN AVE STE 329
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-8136
Mailing Address - Country:US
Mailing Address - Phone:949-385-1693
Mailing Address - Fax:714-479-0153
Practice Address - Street 1:10061 TALBERT AVE STE 200
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5123
Practice Address - Country:US
Practice Address - Phone:714-965-3622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist