Individual
GRACE NICOLE ELLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 US HIGHWAY 2 W STE 15, KALISPELL, MT 59901-3465
(406) 314-6565
Mailing address
704 8TH AVE W, KALISPELL, MT 59901-5267
(406) 260-6784
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-81592
MT
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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