Provider Demographics
NPI:1285876474
Name:SPINO, MONTIE S (LCMHC)
Entity type:Individual
Prefix:MR
First Name:MONTIE
Middle Name:S
Last Name:SPINO
Suffix:
Gender:
Credentials:LCMHC
Other - Prefix:MR
Other - First Name:ROCKY
Other - Middle Name:
Other - Last Name:SPINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCMHC
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:VT
Mailing Address - Zip Code:05038-0127
Mailing Address - Country:US
Mailing Address - Phone:802-685-4458
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 127
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:VT
Practice Address - Zip Code:05038-0127
Practice Address - Country:US
Practice Address - Phone:802-685-4458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004284-1101YM0800X
VT068-0000345101YM0800X
CO0006219101YP2500X
PAPC000549101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health