Kaylee Virginia Blackwell, LAC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Missoula, MT
- NPI
- 1902207160
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- BBH-LAC-LIC-4154 (MT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-09-08
- Last updated
- 2025-05-30
Practice location
2001 S Russell St
Missoula, MT 59801-6621
(406) 493-0143