person
Kevin Montgomery
Counselor in Tupelo, Mississippi
NPI 1194372292

Kevin Montgomery is a Counselor based in Tupelo, MS. Kevin Montgomery practices in Tupelo, MS. The NPI Number for Kevin Montgomery is 1194372292 and holds a License No. (Mississippi).

The current practice location address for Kevin Montgomery is 2434 S Eason Blvd, Tupelo, MS and can be reached out via phone at 662-640-4595 and via fax at 662-680-6416.

Location: 2434 S Eason Blvd, Tupelo, MS, 38804-6942
person
Provider Profile Details
NPI Number
1194372292
Provider Name
Kevin Montgomery
Credential
Provider Entity Type
Individual
Gender
Male
Address
2434 S Eason Blvd, Tupelo, MS, 38804-6942
Phone Number
662-640-4595
Fax Number
662-680-6416
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018203 05 MS
institution
Provider Business Practice Location Address Details
Address
2434 S Eason Blvd
City
State
Zip
38804-6942
Phone Number
662-640-4595
Fax Number
662-680-6416
person
Provider Business Mailing Address Details
Address
2434 S Eason Blvd
City
State
Zip
38804-6942
Phone Number
662-640-4595
Fax Number
662-680-6416
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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