MR. STEPHEN PAUL MONTRY LADC NPI 1124894936

NPI Information

  • NPI: 1124894936
  • Provider Name: MR. STEPHEN PAUL MONTRY, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 11660 ROUND LAKE BLVD NW
    COON RAPIDS, MN
    ZIP 55433
  • Phone: (763) 767-3350

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NPI Details

MR. Stephen Paul Montry, LADC is an addiction (substance use disorder) counselor in Coon Rapids, MN. MR. Stephen Paul Montry, LADC NPI is 1124894936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11660 ROUND LAKE BLVD NW
COON RAPIDS, MN
ZIP 55433-638
Phone: (763) 767-3350

The enumeration date for this NPI number is 12/1/2023 and was last updated on 12/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)304345MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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