Individual
KATHRYN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1414 W FRANKLIN ST, BOISE, ID 83702-5023
(208) 850-9878
(208) 395-1948
Mailing address
1414 W FRANKLIN ST, BOISE, ID 83702-5023
(208) 850-9878
(208) 395-1948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 5810
ID
Other
Enumeration date
09/12/2011
Last updated
03/15/2016
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