VICTORIA ILENE MONTGOMERY NPI 1770795304

NPI Information

NPI: 1770795304
Provider Name: VICTORIA ILENE MONTGOMERY
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1874 BUSINESS CENTER DR
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 386-0523
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Victoria Ilene Montgomery is an addiction (substance use disorder) counselor in San Bernardino, CA. Victoria Ilene Montgomery NPI is 1770795304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1874 BUSINESS CENTER DR
SAN BERNARDINO, CA
ZIP 92408-457
Phone: (909) 386-0523
Fax: (909) 386-0529

The enumeration date for this NPI number is 5/4/2007 and was last updated on 2/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	AII055360418	CALIFORNIA	No
2	171M00000X	Case Manager/Care Coordinator			CALIFORNIA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	061298-II	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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