Individual provider · Type 1 NPI

Ellen Mittlestadt

Addiction (Substance Use Disorder) Counselor · Missoula, MT

NPI number 1700759768 Active

Practice location

2001 S Russell St
Missoula, MT 59801-6621

Mailing address

PO Box 5102
Missoula, MT 59806-5102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBBH-ACLC-LIC-81472 (MT)

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

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About NPI 1700759768

Ellen Mittlestadt's National Provider Identifier is 1700759768, issued on Sep 25, 2025. 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 Sep 25, 2025.