Individual
EMILY LYTLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR, LPC
Contact information
Practice address
13909 TECHNOLOGY DR STE A1, OKLAHOMA CITY, OK 73134-1060
(405) 708-6331
(405) 708-6331
Mailing address
15617 HATTERLY LN, EDMOND, OK 73013-4182
(405) 229-7501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6274
OK
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/05/2010
Last updated
03/17/2018
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