Individual
MR. STEPHEN PAUL MONTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-3350
Mailing address
3335 SCOTT AVE N, GOLDEN VALLEY, MN 55422-2747
(612) 404-5471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304345
MN
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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