Individual
JAIME MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5912 US HWY 70, MEAD, OK 73449
(580) 745-9083
Mailing address
226 E MONTEREY ST, DENISON, TX 75021-6622
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
08/22/2024
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