person
Clarence Montgomery III
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1659751162

Clarence Montgomery III is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Clarence Montgomery III practices in Milwaukee, WI. The NPI Number for Clarence Montgomery III is 1659751162 and holds a License No. 17466-130 (Wisconsin).

The current practice location address for Clarence Montgomery III is 1111 S 6Th St, Milwaukee, WI and can be reached out via phone at 414-649-0189 and via fax at 414-647-8602.

Location: 1111 S 6Th St, Milwaukee, WI, 53204-2301
person
Provider Profile Details
NPI Number
1659751162
Provider Name
Clarence Montgomery III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1111 S 6Th St, Milwaukee, WI, 53204-2301
Phone Number
414-649-0189
Fax Number
414-647-8602
Provider Enumeration Date
06/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 S 6Th St
City
State
Zip
53204-2301
Phone Number
414-649-0189
Fax Number
414-647-8602
person
Provider Business Mailing Address Details
Address
1111 S 6Th St
City
State
Zip
53204-2301
Phone Number
414-649-0189
Fax Number
414-647-8602
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17466-130 (Wisconsin)
Definition
Definition to come...
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