MEDICARE: KATIE ANN MONTEJANO LMHCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHCA.MC.70008712	WA

General Provider Information

NPI Number	:	1750133179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE ANN MONTEJANO LMHCA

Provider Business Mailing Address
First Line	:	1616 W WELLESLEY AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-1402
Country	:	US
Telephone Number	:	509-703-0834
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 W WELLESLEY AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-1402
Country	:	US
Telephone Number	:	509-703-0834
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2024
Last Update Date	:	12/18/2025

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