Montgomery Counseling Center | |
323 12th Ave Rd Nampa ID 83686-5014 | |
(208) 463-0212 | |
(208) 461-5452 |
Full Name | Montgomery Counseling Center |
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Speciality | Counselor - Mental Health |
Location | 323 12th Ave Rd, Nampa, Idaho |
Authorized Official Name and Position | Phyllis Montgomery (LCSW) |
Authorized Official Contact | 2084630212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Montgomery Counseling Center 323 12th Ave Rd Nampa ID 83686-5014 Ph: (208) 463-0212 | Montgomery Counseling Center 323 12th Ave Rd Nampa ID 83686-5014 Ph: (208) 463-0212 |
NPI Number | 1255412714 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255412714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCSW 712 (Idaho) | Primary |
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