Individual
JOANNE LILLIAN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, MSW
Contact information
Practice address
57 PLAINS RD STE 1E, MILFORD, CT 06461-2573
(203) 913-6439
Mailing address
11 VALLEY BROOK RD, WEST HAVEN, CT 06516-2946
(203) 931-1593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001242
CT
Other
Enumeration date
07/18/2017
Last updated
05/13/2019
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