Individual provider · Type 1 NPI
Shamicia C. Montgomery
Professional Counselor · Utica, MI
NPI number
1104579309
Active
Practice location
8255 Hall Rd, Ste D
Utica, MI 48317-5528
Mailing address
2050 South Blvd Unit 162
Bloomfield Hills, MI 48303-7007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6451016396 (MI) |
Professional Counselor: Definition to come...
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About NPI 1104579309
Shamicia C. Montgomery's National Provider Identifier is 1104579309, issued on Jan 28, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Utica, MI. The record was last updated on Mar 9, 2022.