Provider Information for 1912916826
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Mr. JOSEPH MONTELEONE LMHC, LMFT
Sex: Male
NPI: 1912916826
Last Updated: 2011-11-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1912916826 | ||||||||||||
| Enumeration Date | 2006-08-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 86 SEFFNER, FL 33583-0086 United States Phone: 813-624-9299 | Fax:813-653-1122 | ||||||||||||
| Primary Practice Address | 150 E BLOOMINGDALE AVE SUITE111 BRANDON, FL 33511-8151 United States Phone: 813-624-9299 | Fax:813-653-1122 | ||||||||||||
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