Provider Demographics
NPI:1013187731
Name:MONTANARO, CHRISTOPHER H
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:H
Last Name:MONTANARO
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 1:7529 LANCASHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-3761
Mailing Address - Country:US
Mailing Address - Phone:606-909-2527
Mailing Address - Fax:
Practice Address - Street 1:6208 BAUM DR STE 5
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-9504
Practice Address - Country:US
Practice Address - Phone:606-909-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3965101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional