Provider Demographics
NPI:1396825832
Name:MONTGOMERY, FRANCES DOROTHY (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:DOROTHY
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 CLAYTON RD
Mailing Address - Street 2:SUITE 231
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2547
Mailing Address - Country:US
Mailing Address - Phone:925-686-5077
Mailing Address - Fax:925-673-0112
Practice Address - Street 1:1868 CLAYTON RD
Practice Address - Street 2:SUITE 231
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2547
Practice Address - Country:US
Practice Address - Phone:925-686-5077
Practice Address - Fax:925-673-0112
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS12774101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health