Individual
KELSEY ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 MICHIGAN AVE, MISSOULA, MT 59802-5585
(406) 677-1468
Mailing address
400 W BROADWAY ST STE 101, MISSOULA, MT 59802-4136
(406) 677-1468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BBH-LCSW-LIC-70911
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-70911
MT
Other
Enumeration date
05/21/2024
Last updated
04/21/2026
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