Individual provider · Type 1 NPI

Chinniu Montgomery

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1801052956 Active

Practice location

1704 W Manchester Ave
Los Angeles, CA 90047-3063

Mailing address

1538 E Kay St
Compton, CA 90221-1752

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 1801052956

Chinniu Montgomery's National Provider Identifier is 1801052956, issued on Jul 29, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 29, 2008.