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Russell Scott Montgomery, LPC
Professional Counselor in Longview, Texas
NPI 1659409084

Russell Scott Montgomery is a Professional Counselor based in Longview, TX and is specialized in Professional. Russell Scott Montgomery practices in Longview, TX and has the professional credentials of LPC. The NPI Number for Russell Scott Montgomery is 1659409084 and holds a License No. 19025 (Texas).

The current practice location address for Russell Scott Montgomery is 1300 N 6Th St, Longview, TX and can be reached out via phone at 903-297-1852 and via fax at 903-297-8798.

Location: 1300 N 6Th St, Longview, TX, 75605-1116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659409084
Provider Name
Russell Scott Montgomery
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1300 N 6Th St, Longview, TX, 75605-1116
Phone Number
903-297-1852
Fax Number
903-297-8798
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84483L 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1300 N 6Th St
City
Longview
State
Texas
Zip
75601-5567
Phone Number
903-297-1852
Fax Number
903-297-8798
person
Provider Business Mailing Address Details
Address
1300 N 6Th St
City
Longview
State
Texas
Zip
75601-5567
Phone Number
903-297-1852
Fax Number
903-297-8798
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
19025 (Texas)
Definition
Definition to come...
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