Individual
CHRISTINE RENEE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA/LAC
Contact information
Practice address
1510 2ND AVE W STE 102, WILLISTON, ND 58801-4174
Mailing address
1510 2ND AVE W STE 102, WILLISTON, ND 58801-4174
(701) 572-3800
(701) 572-3805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1426
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023982
BCBS OF ND
—
Enumeration date
06/21/2006
Last updated
09/21/2021
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