MRS. Patricia Elaine Montgomery, ADDICTION THERAPIST
NPI #1588749279 in Jackson, Mississippi
Provider Information
- NPI Number
- 1588749279
- Entity Type
- Individual
- Name
- MRS. Patricia Elaine Montgomery, ADDICTION THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- ADDICTION THERAPIST
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5347 JAMAICA DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-4007
- Phone
- (601) 977-1425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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