Individual provider · Type 1 NPI

Terrell Montague, MA

Addiction (Substance Use Disorder) Counselor · Goose Creek, SC

NPI number 1003367905 Active

Practice location

96 Wisteria Rd
Goose Creek, SC 29445-3495

Call (843) 797-7871 Map

Fax (843) 797-8638

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003367905

Terrell Montague, MA's National Provider Identifier is 1003367905, issued on Oct 17, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Goose Creek, SC. The record was last updated on Oct 17, 2016.