Individual provider · Type 1 NPI
Ingo D. Montgomery, MS, BA, LICDC, LSW
Addiction (Substance Use Disorder) Counselor · Ottawa, OH
NPI number
1427211606
Active
Practice location
835 N Locust St
Ottawa, OH 45875-1216
Fax (419) 523-6188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 82777 (OH) |
| Clinical Social Worker | 1041C0700X | 0027904 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1427211606
Ingo D. Montgomery, MS, BA, LICDC, LSW's National Provider Identifier is 1427211606, issued on Jul 8, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ottawa, OH. The record was last updated on Jul 8, 2008.