| Keisha Nicole Montgomery, PRSS | |
|
101 Logan St Ste 200, Williamson, WV 25661-0016 | |
| (304) 235-3570 | |
| Not Available |
| Full Name | Keisha Nicole Montgomery |
|---|---|
| Gender | Female |
| Speciality | Peer Specialist |
| Location | 101 Logan St Ste 200, Williamson, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356089577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keisha Nicole Montgomery, PRSS 141 Cow Creek Rd, Omar, WV 25638-9516 Ph: (304) 928-5656 | Keisha Nicole Montgomery, PRSS 101 Logan St Ste 200, Williamson, WV 25661-0016 Ph: (304) 235-3570 |
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