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Ms. Carmenlita Lackland Montgomery
Peer Specialist in Saint Louis, Missouri
NPI 1093433849

Carmenlita Lackland Montgomery is a Peer Specialist based in Saint Louis, MO. Carmenlita Lackland Montgomery practices in Saint Louis, MO. The NPI Number for Carmenlita Lackland Montgomery is 1093433849 and holds a License No. (Missouri).

The current practice location address for Carmenlita Lackland Montgomery is 1000 N Vandeventer Ave, Saint Louis, MO and can be reached out via phone at 314-534-6015.

Location: 1000 N Vandeventer Ave, Saint Louis, MO, 63103-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093433849
Provider Name
Carmenlita Lackland Montgomery
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 N Vandeventer Ave, Saint Louis, MO, 63103-2303
Phone Number
314-534-6015
Fax Number
Provider Enumeration Date
08/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 N Vandeventer Ave
City
Saint Louis
State
Missouri
Zip
63113-3459
Phone Number
314-534-6015
Fax Number
person
Provider Business Mailing Address Details
Address
1000 N Vandeventer Ave
City
Saint Louis
State
Missouri
Zip
63113-3459
Phone Number
314-534-6015
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
()
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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