Individual
DR. MONTGOMERY CALBERT PRESCOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, NCC, BC-TMH
Contact information
Practice address
110 YE OLDE KINGS HWY, NORTH MYRTLE BEACH, SC 29582-4384
(843) 663-0770
Mailing address
80 EDGEWOOD DR, ST MATTHEWS, SC 29135-8465
(917) 584-1236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6883
SC
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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