Individual
CHARLES MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
190 LIME QUARRY RD STE 212, MADISON, AL 35758-8976
(512) 569-5328
Mailing address
190 LIME QUARRY RD STE 212, MADISON, AL 35758-8976
(512) 569-5328
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3786
AL
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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