Individual
MRS. KAYLEE VIRGINIA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2001 S RUSSELL ST, MISSOULA, MT 59801-6621
(406) 493-0143
(406) 542-6632
Mailing address
2001 S RUSSELL ST, MISSOULA, MT 59801-6621
(406) 493-0143
(406) 542-6632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-4154
MT
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
09/08/2014
Last updated
05/30/2025
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