Individual
JOHN KENNAN DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Contact information
Practice address
900 N ORANGE ST STE 102, MISSOULA, MT 59802-2951
(406) 327-3034
(406) 327-3385
Mailing address
900 N ORANGE ST STE 102, MISSOULA, MT 59802-2951
(406) 327-3034
(406) 327-3385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1193
MT
101YM0800X
Mental Health Counselor
548
MT
1041C0700X
Clinical Social Worker
Primary
934
MT
1041C0700X
Clinical Social Worker
L17690
OR
Other
Enumeration date
04/26/2007
Last updated
04/03/2026
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