Individual
VICKIE L. MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
157 PARK ST STE 5, BANGOR, ME 04401-5000
(207) 992-0410
Mailing address
157 PARK ST STE 5, BANGOR, ME 04401-5000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC2384
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309890099
—
ME
Enumeration date
09/15/2006
Last updated
11/28/2023
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