MS. Carmenlita Lackland Montgomery

NPI #1093433849 in Saint Louis, Missouri

Provider Information

NPI Number: 1093433849
Entity Type: Individual
Name: MS. Carmenlita Lackland Montgomery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 18, 2022
Last Updated: Sep 6, 2022

Practice Location

Address: 1000 N VANDEVENTER AVE
City: Saint Louis
State: Missouri
ZIP Code: 63113-3459
Phone: (314) 534-6015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X
Peer Specialist	175T00000X	Primary

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