person
Mr. Mark Alyn Montgomery, LPC,LISAC
Mental Health Counselor in Mesa, Arizona
NPI 1851478564

Mark Alyn Montgomery is a Mental Health Counselor based in Mesa, AZ and is specialized in Mental Health. Mark Alyn Montgomery practices in Mesa, AZ and has the professional credentials of LPC,LISAC. The NPI Number for Mark Alyn Montgomery is 1851478564 and holds a License No. LISAC-1677 (Arizona).

The current practice location address for Mark Alyn Montgomery is 4554 E. Inverness Ave., C-108, Mesa, AZ and can be reached out via phone at 480-330-5031 and via fax at 480-926-2326. You can also correspond with Mark Alyn Montgomery through the mailing address at 4554 E INVERNESS AVE # C-108, MESA, AZ - 85206-4639 (mailing address contact number: 480-330-5031).

Location: 4554 E. Inverness Ave., C-108, Mesa, AZ, 85206-4639
person
Provider Profile Details
NPI Number
1851478564
Provider Name
Mark Alyn Montgomery
Credential
LPC,LISAC
Provider Entity Type
Individual
Gender
Male
Address
4554 E. Inverness Ave., C-108, Mesa, AZ, 85206-4639
Phone Number
480-330-5031
Fax Number
480-926-2326
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC-2087 01 AZ LICENSED PROF. COUNSELOR
LISAC-1677 01 AZ LIC. IND. SUB. ABUSE COUN
institution
Provider Business Practice Location Address Details
Address
4554 E. Inverness Ave., C-108
City
State
Zip
85206-4639
Phone Number
480-330-5031
Fax Number
480-926-2326
person
Provider Business Mailing Address Details
Address
4554 E. Inverness Ave., C-108
City
State
Zip
85206-4639
Phone Number
480-330-5031
Fax Number
480-926-2326
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC-2087 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LISAC-1677 (Arizona)
Definition
Definition to come...
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