Individual
JULIE A MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
7810 BAXTER CT, ANNANDALE, VA 22003-5102
(404) 462-2188
(571) 533-1388
Mailing address
5242 PORT ROYAL RD #1633, SPRINGFIELD, VA 22151
(440) 462-2188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009848
VA
Other
Enumeration date
08/25/2020
Last updated
04/25/2022
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