Individual
MRS. ELLEN PAIGE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1807 OVERLAKE DRIVE, SUITE E, CONYERS, GA 30013-1766
(678) 413-3833
(770) 385-1832
Mailing address
1807 OVERLAKE DRIVE, SUITE E, CONYERS, GA 30013-1766
(678) 413-3833
(770) 385-1832
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004154
GA
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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