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Individual
MR. MARK ALYN MONTGOMERY
Active
Individual
MR. MARK ALYN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LISAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1677
AZ
101YM0800X
Mental Health Counselor
LPC-2087
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LISAC-1677
LIC. IND. SUB. ABUSE COUN
AZ
01
—
LPC-2087
LICENSED PROF. COUNSELOR
AZ
Enumeration date
11/01/2006
Last updated
09/11/2025
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