Individual
DORA MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2855 SUMMER OAKS DRIVE, BARTLETT, TN 38134
(901) 592-7095
Mailing address
PO BOX 861, SOMERVILLE, TN 38068-0861
(901) 592-7095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000003179
TN
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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