Montague, Jenny L

Montague, Jenny L is an individual health care provider with primary practice located at 185 S Moorman Ave , Sierra Vista AZ 85635-2700. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Montague, Jenny L can be contacted via phone (520) 458-3932.

Contact Information

Primary practice address
185 S Moorman Ave Sierra Vista AZ 85635-2700
Phone: (520) 458-3932
Fax: (520) 458-3585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSCW 1721 Arizona

Profile Details

NPI number 1245392448
LBN Legal business name Montague, Jenny L
Credentials LSCW MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1245392448 NPPES
Arizona Other 644775 AHCCCS

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