Individual
DONNA RAYE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 N CLASSEN BLVD, STE. 311, OKLAHOMA CITY, OK 73106-6835
(405) 605-1460
Mailing address
1330 N CLASSEN BLVD, STE. 311, OKLAHOMA CITY, OK 73106-6835
(405) 605-1460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2010
Last updated
07/11/2010
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