Montgomery, Russell Scott

Montgomery, Russell Scott is an individual health care provider with primary practice located at 1300 N 6Th St , Longview TX 75601-5567. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Montgomery, Russell Scott can be contacted via phone (903) 297-1852.

Contact Information

Primary practice address
1300 N 6Th St Longview TX 75601-5567
Phone: (903) 297-1852
Fax: (903) 297-8798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 19025 Texas

Profile Details

NPI number 1659409084
LBN Legal business name Montgomery, Russell Scott
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 18 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 1659409084 NPPES
Texas Other 84483L BLUE CROSS BLUE SHIELD

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