Individual
TIA MONTAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 KNIGHTSBRIDGE PL, JACKSON, NJ 08527-1273
(908) 216-1889
Mailing address
42 KNIGHTSBRIDGE PL, JACKSON, NJ 08527-1273
(908) 216-1889
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00842600
NJ
101YM0800X
Mental Health Counselor
37AC00842600
NJ
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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