Doctor Name: | LIANA H MONTAGUE |
NPI Number: | 1063609956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RC00054443 |
Business Practice Address: | 414 Front St N Issaquah, WA - 980272914 |
Business Phone Number: | 4253926367 |
Business Fax Number: | |
Mailing Address: | 3014 90th Pl Se, MERCER ISLAND |
State: | WA |
Postal Code: | 980403119 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC00054443 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |