Individual
KAITLIN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2721 CONNERY WAY, MISSOULA, MT 59808-1951
(406) 282-4979
Mailing address
PO BOX 3291, MISSOULA, MT 59806-3291
(406) 282-4979
(855) 975-3095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
57510
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-72895
MT
106S00000X
Behavior Technician
CB60971891
WA
Other
Enumeration date
10/04/2016
Last updated
02/18/2026
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