Individual provider · Type 1 NPI

Carmenlita Lackland Montgomery

Peer Specialist · St. Louis, MO

NPI number 1093433849 Active

Practice location

1000 N Vandeventer Ave
St. Louis, MO 63113-3459

Call (314) 534-6015 Map

Mailing address

1430 Olive St Ste 400
St. Louis, MO 63103-2303

Specialties and licenses

TaxonomyCodeLicense
Forensic Psychologist 103TF0200XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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.

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About NPI 1093433849

Carmenlita Lackland Montgomery's National Provider Identifier is 1093433849, issued on Aug 18, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 6, 2022.