Individual
MRS. NITA F. MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1222 N FLORENCE AVE STE D, CLAREMORE, OK 74017-4294
(918) 341-0087
(918) 342-0081
Mailing address
1301 W. ARCHER DR, CLAREMORE, OK 74017
(918) 342-2761
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
292
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292
LPC LICENSE NUMBER
OK
Enumeration date
04/03/2007
Last updated
09/11/2009
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