ROGER MONTGOMERY

PERRIS, CA
NPI1699013342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-30
Last Update Date2013-01-30
Business Address
-- ROGER MONTGOMERY
2055 N PERRIS BLVD STE G6
PERRIS, CA 92571-2516
Phone number: 951-940-6061
Mailing Address
-- ROGER MONTGOMERY
PO BOX 549
LAKE ELSINORE, CA 92531-0549
Phone number: 951-294-5879
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