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Lisa Montgomery, PHD
Professional Counselor in Melbourne, Florida
NPI 1992471072

Lisa Montgomery is a Professional Counselor based in Melbourne, FL and is specialized in Professional. Lisa Montgomery practices in Melbourne, FL and has the professional credentials of PHD. The NPI Number for Lisa Montgomery is 1992471072 and holds a License No. PC005472 (Florida).

The current practice location address for Lisa Montgomery is 3445 Spring Branch Trl Apt 163, Melbourne, FL and can be reached out via phone at 814-404-5913.

Location: 3445 Spring Branch Trl Apt 163, Melbourne, FL, 32935-5786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992471072
Provider Name
Lisa Montgomery
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
3445 Spring Branch Trl Apt 163, Melbourne, FL, 32935-5786
Phone Number
814-404-5913
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3445 Spring Branch Trl Apt 163
City
Melbourne
State
Florida
Zip
32935-5786
Phone Number
814-404-5913
Fax Number
person
Provider Business Mailing Address Details
Address
3445 Spring Branch Trl Apt 163
City
Melbourne
State
Florida
Zip
32935-5786
Phone Number
814-404-5913
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PC005472 (Pennsylvania)
Definition
Definition to come...
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