Individual
MRS. PATRICIA LORRAINE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
123 2ND AVENUE, NW, FAYETTE, AL 35555
(205) 932-3216
(205) 032-2354
Mailing address
123 2ND AVENUE, NW, FAYETTE, AL 35555
(205) 932-3216
(205) 032-2354
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2491
AL
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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