Individual
MRS. EBONY THERESA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
555 TOWNER ST., YPSILANTI, MI 48198
(734) 544-3050
(734) 544-2906
Mailing address
555 TOWNER ST, P.O. BOX 915, YPSILANTI, MI 48198-5752
(734) 544-3050
(734) 544-2906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013178
MI
Other
Enumeration date
04/23/2013
Last updated
10/29/2018
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