Montgomery, Karen Jeanette

Montgomery, Karen Jeanette is an individual health care provider with primary practice located at 483 W. Seed Farm Rd , Sacaton AZ 85147-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Montgomery, Karen Jeanette can be contacted via phone (602) 528-7142.

Contact Information

Primary practice address
483 W. Seed Farm Rd Sacaton AZ 85147-0001
Phone: (602) 528-7142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-1416 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-2215 Arizona

Profile Details

NPI number 1427382514
LBN Legal business name Montgomery, Karen Jeanette
Credentials LPOC, LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2009
Last updated Sep 23rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427382514 NPPES
Arizona MEDICAID 346214

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