Individual
MS. CHRYSTAL SHAWNTELLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
715 W COURT ST, PASCO, WA 99301-4153
(509) 543-1924
Mailing address
715 W COURT ST, PASCO, WA 99301-4153
(509) 543-1924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60680229
WA
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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