Individual
CAROLINE KINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, BC-DMT
Contact information
Practice address
3700 S RUSSELL ST STE B110, MISSOULA, MT 59801-8574
(406) 201-9736
Mailing address
PO BOX 1904, MISSOULA, MT 59806-1904
(406) 201-9736
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-64926
MT
101YP2500X
Professional Counselor
C7603
OR
Other
Enumeration date
10/21/2020
Last updated
12/08/2025
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