Individual
MR. JOHN L MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMFT
Contact information
Practice address
55 1ST PL NW, ISSAQUAH, WA 98027-3271
(425) 392-0277
(425) 392-2509
Mailing address
55 1ST PL NW, ISSAQUAH, WA 98027-3271
(425) 392-0277
(425) 392-2509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00005140
WA
106H00000X
Marriage & Family Therapist
Primary
LF00001249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169565
VALUE OPTIONS ID #
—
01
—
4594458
AETNA US HEALTHCARE #
—
01
—
MO9010
REGENCE PIN#
—
Enumeration date
11/14/2006
Last updated
09/11/2025
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