Individual
DR. BONNIE JEAN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1528 BLANDING ST, COLUMBIA, SC 29201-2907
(803) 252-9444
(803) 748-9220
Mailing address
1528 BLANDING ST, COLUMBIA, SC 29201-2907
(803) 252-9444
(803) 748-9220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
276
SC
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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