Individual provider · Type 1 NPI

Marissa Montgomery, CASAC-T

Mental Health Counselor · New York, NY

NPI number 1275912834 Active

Practice location

55 W 125th St, 11th Floor
New York, NY 10027-4516

Call (212) 864-4128 Map

Fax (212) 662-9193

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X31027 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1275912834

Marissa Montgomery, CASAC-T's National Provider Identifier is 1275912834, issued on May 28, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on May 28, 2015.