person
Mr. Kasey Joseph Nicholson, MS,LAC
Addiction (Substance Use Disorder) Counselor in Missoula, Montana
NPI 1366711418

Kasey Joseph Nicholson is an Addiction (Substance Use Disorder) Counselor based in Missoula, MT and is specialized in Addiction (Substance Use Disorder). Kasey Joseph Nicholson practices in Missoula, MT and has the professional credentials of MS,LAC. The NPI Number for Kasey Joseph Nicholson is 1366711418 and holds a License No. 1340 LAC (Montana).

The current practice location address for Kasey Joseph Nicholson is 830 W Central Ave, Missoula, MT and can be reached out via phone at 406-829-9515 and via fax at 406-829-9519.

Location: 830 W Central Ave, Missoula, MT, 59801-7931
person
Provider Profile Details
NPI Number
1366711418
Provider Name
Kasey Joseph Nicholson
Credential
MS,LAC
Provider Entity Type
Individual
Gender
Male
Address
830 W Central Ave, Missoula, MT, 59801-7931
Phone Number
406-829-9515
Fax Number
406-829-9519
Provider Enumeration Date
12/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
830 W Central Ave
City
State
Zip
59801-7931
Phone Number
406-829-9515
Fax Number
406-829-9519
person
Provider Business Mailing Address Details
Address
830 W Central Ave
City
State
Zip
59801-7931
Phone Number
406-829-9515
Fax Number
406-829-9519
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1340 LAC (Montana)
Definition
Definition to come...
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