Montgomery, John L

Montgomery, John L is an sole proprietor health care provider with primary practice located at 55 1St Pl Nw , Issaquah WA 98027-3271. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Montgomery, John L can be contacted via phone (425) 392-0277.

Contact Information

Primary practice address
55 1St Pl Nw Issaquah WA 98027-3271
Phone: (425) 392-0277
Fax: (425) 392-2509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00005140 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF00001249 Washington

Profile Details

NPI number 1114099298
LBN Legal business name Montgomery, John L
Credentials LMHC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1114099298 NPPES
Other 169565 VALUE OPTIONS ID #
Other 4594458 VALUE OPTIONS ID #
Other MO9010 VALUE OPTIONS ID #

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