Individual
CANDACE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT/CDCA
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
202 BURKHARDT AVE, DAYTON, OH 45403-2774
(937) 270-4846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA195013
OH
175T00000X
Peer Specialist
APS006806
OH
Other
Enumeration date
10/03/2025
Last updated
01/29/2026
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