Individual provider · Type 1 NPI

Kevin J. Montague, MS, LPC, LSAC, LSW

Professional Counselor · Balsam Lake, WI

NPI number 1992078828 Active

Practice location

100 Polk County Plz, Ste 50
Balsam Lake, WI 54810-9071

Fax (715) 485-8450

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X8078-120 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X15908-132 (WI)
Professional Counselor Primary 101YP2500X6332-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1992078828

Kevin J. Montague, MS, LPC, LSAC, LSW's National Provider Identifier is 1992078828, issued on Feb 23, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Balsam Lake, WI. The record was last updated on May 10, 2017.