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Individual
MELINDA M. MONTGOMERY
Active
Individual
MELINDA M. MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C., L.P.A.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157588801
—
TX
01
—
6232LC
BLUECROSS BLUESHIELD OF T
TX
Enumeration date
04/13/2007
Last updated
05/10/2013
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