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Individual

ERIC MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
158 W MAIN ST, ANDOVER, OH 44003-9318
(216) 800-8700
(216) 353-4804
Mailing address
495 S BROADWAY, GENEVA, OH 44041-1939
(216) 800-8700
(216) 353-4804

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.186651
OH
175T00000X
Peer Specialist
APS.004457
OH

Other

Enumeration date
12/08/2022
Last updated
04/07/2026
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