person
Mr. Eric Martin Montgomery SR., SUDCC
Addiction (Substance Use Disorder) Counselor in Colton, California
NPI 1164793188

Eric Martin Montgomery SR. is an Addiction (Substance Use Disorder) Counselor based in Riverside, CA and is specialized in Addiction (Substance Use Disorder). Eric Martin Montgomery SR. practices in Colton, CA and has the professional credentials of SUDCC. The NPI Number for Eric Martin Montgomery SR. is 1164793188 and holds a License No. (California).

The current practice location address for Eric Martin Montgomery SR. is 2275 E Cooley Dr, Colton, CA and can be reached out via phone at 951-784-8010 and via fax at 951-784-2859.

Location: 2275 E Cooley Dr, Colton, CA, 92501-1413
person
Provider Profile Details
NPI Number
1164793188
Provider Name
Eric Martin Montgomery SR.
Credential
SUDCC
Provider Entity Type
Individual
Gender
Male
Address
2275 E Cooley Dr, Colton, CA, 92501-1413
Phone Number
951-784-8010
Fax Number
951-784-2859
Provider Enumeration Date
01/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 CA
institution
Provider Business Practice Location Address Details
Address
2275 E Cooley Dr
City
State
Zip
92324-6324
Phone Number
951-784-8010
Fax Number
951-784-2859
person
Provider Business Mailing Address Details
Address
2275 E Cooley Dr
City
State
Zip
92324-6324
Phone Number
951-784-8010
Fax Number
951-784-2859
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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