person
Mrs. Kaylee Virginia Blackwell, LAC
Addiction (Substance Use Disorder) Counselor in Missoula, Montana
NPI 1902207160

Kaylee Virginia Blackwell is an Addiction (Substance Use Disorder) Counselor based in Missoula, MT and is specialized in Addiction (Substance Use Disorder). Kaylee Virginia Blackwell practices in Missoula, MT and has the professional credentials of LAC. The NPI Number for Kaylee Virginia Blackwell is 1902207160 and holds a License No. LAC-LAC-LIC-4154 (Montana).

The current practice location address for Kaylee Virginia Blackwell is 1325 Wyoming St, Missoula, MT and can be reached out via phone at 406-532-9800 and via fax at 406-541-3032.

Location: 1325 Wyoming St, Missoula, MT, 59804-7220
person
Provider Profile Details
NPI Number
1902207160
Provider Name
Kaylee Virginia Blackwell
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
1325 Wyoming St, Missoula, MT, 59804-7220
Phone Number
406-532-9800
Fax Number
406-541-3032
Provider Enumeration Date
09/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1325 Wyoming St
City
State
Zip
59801-1725
Phone Number
406-532-9800
Fax Number
406-541-3032
person
Provider Business Mailing Address Details
Address
1325 Wyoming St
City
State
Zip
59801-1725
Phone Number
406-532-9800
Fax Number
406-541-3032
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAC-LAC-LIC-4154 (Montana)
Definition
Definition to come...
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