TERRELL MONTAGUE

GOOSE CREEK, SC
NPI1003367905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
Mr. TERRELL MONTAGUE MA
96 WISTERIA RD
GOOSE CREEK, SC 29445-3495
Phone number: 843-797-7871
Mailing Address
Mr. TERRELL MONTAGUE MA
96 WISTERIA RD
GOOSE CREEK, SC 29445-3495
Phone number: 843-797-7871