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Individual

LAKISHA MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 404-0464
Mailing address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1336814375
OK

Other

Enumeration date
08/11/2021
Last updated
08/11/2025
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