Individual provider · Type 1 NPI
Jacob Blackwell
Addiction (Substance Use Disorder) Counselor · Missoula, MT
NPI number
1871137034
Active
Practice location
800 Kensington Ave Ste 203
Missoula, MT 59801-5670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | BBH-LAC-LIC-33154 (MT) |
| Clinical Social Worker | 1041C0700X | BBH-SWLC-LIC-48355 (MT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1871137034
Jacob Blackwell's National Provider Identifier is 1871137034, issued on Oct 31, 2019. 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 8, 2023.