MR. Kevin J Montague, MS, LPC, LSAC, LSW
NPI #1992078828 in Balsam Lake, Wisconsin
Provider Information
- NPI Number
- 1992078828
- Entity Type
- Individual
- Name
- MR. Kevin J Montague, MS, LPC, LSAC, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MS, LPC, LSAC, LSW
- Enumeration Date
- Feb 23, 2012
- Last Updated
- May 10, 2017
Practice Location
- Address
- 100 POLK COUNTY PLZ
- Address 2
- STE 50
- City
- Balsam Lake
- State
- Wisconsin
- ZIP Code
- 54810-9071
- Phone
- (715) 485-8862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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