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Individual
SHUNTA' MONTGOMERY
Active
Individual
SHUNTA' MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
85059
TX
101YP2500X
Professional Counselor
Primary
85059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85059
TEXAS STATE LICENSE
TX
Enumeration date
02/24/2022
Last updated
03/29/2023
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