Individual
JESSICA RAE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
3535 MARKET ST., 2ND FL., PHILADELPHIA, PA 19104-3317
(317) 494-2460
Mailing address
3535 MARKET ST., 2ND FL., PHILADELPHIA, PA 19104-3317
(317) 494-2460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
99116587A
IN
101YM0800X
Mental Health Counselor
Primary
PC016471
PA
Other
Enumeration date
03/02/2023
Last updated
04/02/2024
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