Individual
GARY P MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
30472 23 MILE RD, CHESTERFIELD, MI 48047-1844
(586) 863-4000
Mailing address
30472 23 MILE RD, CHESTERFIELD, MI 48047-1844
(586) 863-4000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401002971
MI
Other
Enumeration date
08/31/2006
Last updated
09/21/2022
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