Individual
MR. PATRICK CLARK MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7300 DIXIE HWY STE 1000, CLARKSTON, MI 48346
(248) 922-2300
(248) 922-2304
Mailing address
191 SNOW APPLE LN, DAVISON, MI 48423-9139
(248) 802-7909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401000856
MI
Other
Enumeration date
06/12/2018
Last updated
07/18/2018
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