Individual
MS. MARY LOUISE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(105) 257-1000
Mailing address
9 CEDARIDGE DR, JACKSONVILLE, AR 72076-9295
(501) 834-1667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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