Provider Demographics
NPI:1053792788
Name:MONTIER, NANCY JO (LGPC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JO
Last Name:MONTIER
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 VAN HORN WAY
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-2003
Mailing Address - Country:US
Mailing Address - Phone:240-777-4342
Mailing Address - Fax:240-777-4447
Practice Address - Street 1:7300 CALHOUN PL
Practice Address - Street 2:SUITE 600
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-2790
Practice Address - Country:US
Practice Address - Phone:240-777-4342
Practice Address - Fax:240-777-4447
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP5951101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health