Individual
MRS. KIMBERLY PICHE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3522 WEBSTER RD, BLUE RIDGE, VA 24064-1980
(540) 977-6300
(540) 977-9523
Mailing address
3522 WEBSTER RD, BLUE RIDGE, VA 24064-1980
(540) 977-6300
(540) 977-9523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710000503
VA
101YP2500X
Professional Counselor
Primary
0701002441
VA
106H00000X
Marriage & Family Therapist
0717000601
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005402689
—
VA
Enumeration date
11/15/2005
Last updated
05/03/2024
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