Individual provider · Type 1 NPI
Judith Irene Montague, LCSW
Mental Health Counselor · Salt Lake City, UT
NPI number
1144459504
Active
Practice location
1111 Brickyard Rd Ste 109
Salt Lake City, UT 84106-2593
Fax (801) 746-4337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 67569253501 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1144459504
Judith Irene Montague, LCSW's National Provider Identifier is 1144459504, issued on Jul 7, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 7, 2009.