| Eric Montgomery, | |
|
158 W Main St, Andover, OH 44003-9318 | |
| (216) 800-8700 | |
| (216) 353-4804 |
| Full Name | Eric Montgomery |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 158 W Main St, Andover, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578274775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.186651 (Ohio) | Primary |
| 175T00000X | Peer Specialist | APS.004457 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Montgomery, 495 S Broadway, Geneva, OH 44041-1939 Ph: (216) 800-8700 | Eric Montgomery, 158 W Main St, Andover, OH 44003-9318 Ph: (216) 800-8700 |
Grant Charles Kirkwood, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 158 W Main St, Andover, OH 44003 Phone: 216-353-4723 | |
Christen Sonoski, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 158 W Main St, Andover, OH 44003 Phone: 440-563-6524 |