Provider Demographics
NPI:1194744953
Name:CREMER-VOGEL, KATHERINE KERR (LCPC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:KERR
Last Name:CREMER-VOGEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8759 TROOPER TRL
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-9269
Mailing Address - Country:US
Mailing Address - Phone:406-582-5480
Mailing Address - Fax:406-582-5480
Practice Address - Street 1:8759 TROOPER TRL
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-9269
Practice Address - Country:US
Practice Address - Phone:406-582-5480
Practice Address - Fax:406-582-5480
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT773101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT01251124Medicaid