Individual
ERIN JEANETTE MONTGOMERY,
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LSAA
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-2272
(575) 622-3325
Mailing address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-2272
(575) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
CAMF0213311
NM
106H00000X
Marriage & Family Therapist
Primary
CTB-2022-0112
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73728306
—
NM
Enumeration date
08/21/2019
Last updated
02/21/2023
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