Provider Demographics
NPI:1942411640
Name:MONTEE, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:MONTEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-2758
Mailing Address - Country:US
Mailing Address - Phone:805-938-5442
Mailing Address - Fax:
Practice Address - Street 1:1017 E OCEAN AVE
Practice Address - Street 2:SUTIE B
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-7000
Practice Address - Country:US
Practice Address - Phone:805-735-7525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)