Individual
BRADLEY ALAN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
246 E CAMPUS VIEW BLVD, COLUMBUS, OH 43235-4634
(614) 588-9864
Mailing address
246 E CAMPUS VIEW BLVD, COLUMBUS, OH 43235-4634
(614) 588-9864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187209
OH
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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