Individual provider · Type 1 NPI
Shaunteeka Klarissa Montgomery
Mental Health Counselor · Sacramento, CA
NPI number
1114111952
Active
Practice location
3131 Palmer St # 13
Sacramento, CA 95815-1412
Fax (916) 649-1130
Mailing address
1507 21st St, 3131 Palmer Street
Sacramento, CA 95811-5220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1114111952
Shaunteeka Klarissa Montgomery's National Provider Identifier is 1114111952, issued on Sep 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sacramento, CA. The record was last updated on Sep 5, 2007.