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Mr. William Mcclelland Montgomery JR.
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1720699440

William Mcclelland Montgomery JR. is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. William Mcclelland Montgomery JR. practices in Los Angeles, CA. The NPI Number for William Mcclelland Montgomery JR. is 1720699440 and holds a License No. (California).

The current practice location address for William Mcclelland Montgomery JR. is 6762 Lexington Ave, Los Angeles, CA and can be reached out via phone at 323-380-7590.

Location: 6762 Lexington Ave, Los Angeles, CA, 90015-2871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720699440
Provider Name
William Mcclelland Montgomery JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6762 Lexington Ave, Los Angeles, CA, 90015-2871
Phone Number
323-380-7590
Fax Number
Provider Enumeration Date
08/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6762 Lexington Ave
City
Los Angeles
State
California
Zip
90038-1217
Phone Number
323-380-7590
Fax Number
person
Provider Business Mailing Address Details
Address
6762 Lexington Ave
City
Los Angeles
State
California
Zip
90038-1217
Phone Number
323-380-7590
Fax Number
person
Provider's Taxonomy Details 1
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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