Individual provider · Type 1 NPI

Kasey Joseph Nicholson, M.S., LAC

Addiction (Substance Use Disorder) Counselor · Missoula, MT

NPI number 1366711418 Active

Practice location

830 W Central Ave
Missoula, MT 59801-7931

Fax (406) 829-9519

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1340 LAC (MT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366711418

Kasey Joseph Nicholson, M.S., LAC's National Provider Identifier is 1366711418, issued on Dec 19, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Missoula, MT. The record was last updated on Dec 19, 2011.