Individual provider · Type 1 NPI

Whitley Montgomery, MA, LPCC

Mental Health Counselor · Minnetonka, MN

NPI number 1184107682 Active

Practice location

3395 Plymouth Road
Minnetonka, MN 55305

Call (952) 939-0396 Map

Fax (952) 548-8760

Mailing address

3395 Plymouth Rd
Minnetonka, MN 55305-3765

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC01916 (MN)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1184107682

Whitley Montgomery, MA, LPCC's National Provider Identifier is 1184107682, issued on Sep 11, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minnetonka, MN. The record was last updated on Sep 11, 2018.