Clarence Montgomery III
Clarence Montgomery III is an Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
Practice location Address checks out
1111 S 6th St 1111 S.6TH StMilwaukee, WI 53204-2301
Phone: (414) 649-0189
Fax: (414) 647-8602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 17466-130 (WI) |
|---|
Record details
| NPI number | 1659751162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 1, 2015 |
| Last updated in NPPES | June 1, 2015 |
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