Montague, Kevin J
Montague, Kevin J is an individual health care provider with primary practice located at 100 Polk County Plz Ste 50, Balsam Lake WI 54810-9071. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Montague, Kevin J can be contacted via phone (715) 485-8862.Contact Information
Primary practice address
100 Polk County Plz Ste 50
Balsam Lake WI 54810-9071
Phone: (715) 485-8862
Fax: (715) 485-8450
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8078-120 | Wisconsin |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15908-132 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6332-125 | Wisconsin |
Profile Details
NPI number | 1992078828 |
---|---|
LBN Legal business name | Montague, Kevin J |
Credentials | MS, LPC, LSAC, LSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2012 |
Last updated | May 10th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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