Individual
AMANDA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
621 LINE STREET, BELCHER, LA 71004-0033
(318) 963-9908
Mailing address
PO BOX 33, BELCHER, LA 71004-0033
(318) 963-9908
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5154
LA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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