Individual
EMILY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC
Contact information
Practice address
750 CROSS POINTE RD STE D, GAHANNA, OH 43230-6692
(614) 407-6513
(937) 998-1118
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148
(740) 351-2718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161495
OH
101YM0800X
Mental Health Counselor
Primary
E.1800903
KY
Other
Enumeration date
10/16/2017
Last updated
07/24/2020
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