Individual provider · Type 1 NPI

Tyler Doules Montgomery

Addiction (Substance Use Disorder) Counselor · Piketon, OH

NPI number 1962992321 Active

Practice location

15221 State Route 772
Piketon, OH 45661-9062

Call (740) 493-4260 Map

Mailing address

5219 Morgans Fork Rd
Waverly, OH 45690-9084

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 1962992321

Tyler Doules Montgomery's National Provider Identifier is 1962992321, issued on May 11, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Piketon, OH. The record was last updated on May 11, 2018.