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Phyllis Montgomery, LCSW
Mental Health Counselor in Nampa, Idaho
NPI 1316106107

Phyllis Montgomery is a Mental Health Counselor based in Nampa, ID and is specialized in Mental Health. Phyllis Montgomery practices in Nampa, ID and has the professional credentials of LCSW. The NPI Number for Phyllis Montgomery is 1316106107 and holds a License No. LCSW 712 (Idaho).

The current practice location address for Phyllis Montgomery is 323 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-463-0212 and via fax at 208-461-5452.

Location: 323 12Th Ave Rd, Nampa, ID, 83686-5014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316106107
Provider Name
Phyllis Montgomery
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
323 12Th Ave Rd, Nampa, ID, 83686-5014
Phone Number
208-463-0212
Fax Number
208-461-5452
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002743500 05 ID
institution
Provider Business Practice Location Address Details
Address
323 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-5014
Phone Number
208-463-0212
Fax Number
208-461-5452
person
Provider Business Mailing Address Details
Address
323 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-5014
Phone Number
208-463-0212
Fax Number
208-461-5452
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCSW 712 (Idaho)
Definition
Definition to come...
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