Individual provider · Type 1 NPI
Ebony Theresa Montgomery, LPC
Professional Counselor · Ypsilanti, MI
NPI number
1932543733
Active
Practice location
555 Towner St.
Ypsilanti, MI 48198
Fax (734) 544-2906
Mailing address
555 Towner St, P.o. Box 915
Ypsilanti, MI 48198-5752
Other practice locations
- 1785 W Stadium Blvd Ste 203C, Ann Arbor, MI 48103-5291 · (734) 913-1093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401013178 (MI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1932543733
Ebony Theresa Montgomery, LPC's National Provider Identifier is 1932543733, issued on Apr 23, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ypsilanti, MI. The record was last updated on Oct 29, 2018.