Individual
JARED THAYER MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ALC, NCC
Contact information
Practice address
1117 22ND ST S STE 208, BIRMINGHAM, AL 35205-2813
(205) 319-6222
Mailing address
2000 2ND AVE S APT 328, BIRMINGHAM, AL 35233-2075
(423) 440-3836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04482
AL
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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