Individual
AYNGI MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED M.DIV LPC NCC
Contact information
Practice address
1305 N HIGHWAY 66, SUITE B, CATOOSA, OK 74015-2460
(918) 852-9644
Mailing address
PO BOX 700082, TULSA, OK 74170-0082
(918) 852-9644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4100
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266240B
—
OK
Enumeration date
05/01/2007
Last updated
03/15/2011
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