Individual
JARRETT MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3018 OLD MINDEN RD, 520, BOSSIER CITY, LA 71112-2476
(318) 658-9927
Mailing address
9100 WALKER RD, 520, SHREVEPORT, LA 71118-2902
(318) 237-5868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
10/07/2016
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