Montague, Susan

Montague, Susan is an individual health care provider with primary practice located at 645 E Iron Ave Ste C , Salina KS 67401-2697. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Montague, Susan can be contacted via phone (800) 423-1342.

Contact Information

Primary practice address
645 E Iron Ave Ste C Salina KS 67401-2697
Phone: (800) 423-1342
Fax: (785) 628-3113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 050 Kansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2811 Kansas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 011 Kansas

Profile Details

NPI number 1548460439
LBN Legal business name Montague, Susan
Credentials LCP, LCAC, LMLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Sep 14th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548460439 NPPES
Kansas MEDICAID 200435200B

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