Provider Demographics
NPI:1790543858
Name:PESCADOR, MONTE YUKIO (LPCC, ACMHC)
Entity Type:Individual
Prefix:MR
First Name:MONTE
Middle Name:YUKIO
Last Name:PESCADOR
Suffix:
Gender:M
Credentials:LPCC, ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6835 ROAD 25 UNIT A
Mailing Address - Street 2:
Mailing Address - City:CORTEZ
Mailing Address - State:CO
Mailing Address - Zip Code:81321-9225
Mailing Address - Country:US
Mailing Address - Phone:970-564-7235
Mailing Address - Fax:
Practice Address - Street 1:6835 ROAD 25 UNIT A
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-9225
Practice Address - Country:US
Practice Address - Phone:970-564-7235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13875359-6009101YP2500X
COLPCC.0021552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional