Mr. Terrell Montague
Addiction Counselor (Substance Use Disorder)
96 Wisteria Rd
Goose Creek
, South Carolina 29445-3495
Mr. Terrell Montague
Addiction Counselor (Substance Use Disorder)
96 Wisteria Rd
Goose Creek
, South Carolina 29445-3495
(843) 797-8638
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Terrell Montague
- 96 Wisteria Rd
- Goose Creek, SC
- Zip : 29445-3495
- Fax : (843) 797-8638
- Phone : (843) 797-7871
Second Address
- Mr. Terrell Montague
- 96 Wisteria Rd
- Goose Creek, SC
- Zip : 29445-3495
- Fax : (843) 797-8638
- Phone : (843) 797-7871
Reviews
FAQs
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What type of doctor is Mr. Terrell Montague
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Is Mr. Terrell Montague a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003367905 |
|---|---|
| Provider Name | Mr. Terrell Montague |
| First Address | Goose Creek, SC 29445-3495 |
| Second Address | Goose Creek, SC 29445-3495 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2016 |
| Last Update Date | 17/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 571048948 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.