Individual provider · Type 1 NPI

Louella Kelly Heavy Runner, LAC

Addiction (Substance Use Disorder) Counselor · Missoula, MT

NPI number 1861707622 Active

Practice location

1325 Wyoming St
Missoula, MT 59801-1725

Call (406) 532-9800 Map

Fax (406) 541-3032

Mailing address

T-9 Fort Missoula
Missoula, MT 59804-7202

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1063 (MT)

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

31 other providers at this address

Other addiction (substance use disorder) counselor providers in Missoula

See all in Missoula →

About NPI 1861707622

Louella Kelly Heavy Runner, LAC's National Provider Identifier is 1861707622, issued on Aug 17, 2010. 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 Aug 17, 2010.