Provider Demographics
NPI:1235744939
Name:MONTRIE, JODY L (LCMHC-S)
Entity Type:Individual
Prefix:
First Name:JODY
Middle Name:L
Last Name:MONTRIE
Suffix:
Gender:F
Credentials:LCMHC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 KEVIN CT
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-9520
Mailing Address - Country:US
Mailing Address - Phone:828-338-9112
Mailing Address - Fax:
Practice Address - Street 1:24 KEVIN CT
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-9520
Practice Address - Country:US
Practice Address - Phone:828-338-9112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7337S101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health