Individual
PEGGY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
10750 HICKORY RIDGE RD STE 113, COLUMBIA, MD 21044-3681
(443) 621-0583
Mailing address
10750 HICKORY RIDGE RD STE 113, COLUMBIA, MD 21044-3681
(443) 621-0583
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06177
MD
101YM0800X
Mental Health Counselor
Primary
06177
MD
Other
Enumeration date
02/17/2016
Last updated
04/25/2026
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