Healthcare Provider Details

I. General information

NPI: 1912869298
Provider Name (Legal Business Name): KATERI ANNE KUHLOW LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 W ALDER ST
MISSOULA MT
59802-4123
US

IV. Provider business mailing address

323 W ALDER ST
MISSOULA MT
59802-4123
US

V. Phone/Fax

Practice location:
  • Phone: 406-258-4789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-83556
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: