Individual provider · Type 1 NPI

Roger Montgomery

Addiction (Substance Use Disorder) Counselor · Perris, CA

NPI number 1699013342 Active

Practice location

2055 N Perris Blvd Ste G6
Perris, CA 92571-2516

Call (951) 940-6061 Map

Fax (951) 940-1691

Mailing address

PO Box 549
Lake Elsinore, CA 92531-0549

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699013342

Roger Montgomery's National Provider Identifier is 1699013342, issued on Jan 30, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Perris, CA. The record was last updated on Jan 30, 2013.