NPI 1093433849

Carmenlita Lackland Montgomery

Practitioner Peer Specialist Saint Louis, MO

Practice location

Address: 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459
Phone: (314) 534-6015
Mailing address: 1430 Olive St STE 400, Saint Louis, MO 63103-2303

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Forensic Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TF0200X

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Registry record

NPI: 1093433849
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2022
Record last updated: 6 Sep 2022

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.