MR. KEVIN J MONTAGUE MS LPC LSAC LSW NPI 1992078828

NPI Information

NPI: 1992078828
Provider Name: MR. KEVIN J MONTAGUE, MS, LPC, LSAC, LSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
100 POLK COUNTY PLZ
STE 50
BALSAM LAKE, WI
ZIP 54810
Phone: (715) 485-8862
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MR. Kevin J Montague, MS, LPC, LSAC, LSW is a professional counselor in Balsam Lake, WI. MR. Kevin J Montague, MS, LPC, LSAC, LSW NPI is 1992078828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 POLK COUNTY PLZ
STE 50
BALSAM LAKE, WI
ZIP 54810-071
Phone: (715) 485-8862
Fax: (715) 485-8450

The enumeration date for this NPI number is 2/23/2012 and was last updated on 5/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15908-132	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	8078-120	WISCONSIN	No
3	101YP2500X	Counselor	Professional	6332-125	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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