| NPI | 1912362880 |
|---|---|
| Other Name | JAY MONTAGUE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA SW132374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05843300) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2020-03-30 |