NPI 1003591751

Jared Thayer Montague, ALCNCC

Practitioner Counselor Birmingham, AL

Practice location

Address: 1117 22nd St S STE 208, Birmingham, AL 35205-2813
Phone: (205) 319-6222
Mailing address: 2000 2nd Ave S APT 328, Birmingham, AL 35233-2075

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence ALC04482 (AL)

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Registry record

NPI: 1003591751
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2023
Record last updated: 20 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.