Individual provider · Type 1 NPI

Kaylee Virginia Blackwell, LAC

Addiction (Substance Use Disorder) Counselor · Missoula, MT

NPI number 1902207160 Active

Practice location

2001 S Russell St
Missoula, MT 59801-6621

Fax (406) 542-6632

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBBH-LAC-LIC-4154 (MT)

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

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About NPI 1902207160

Kaylee Virginia Blackwell, LAC's National Provider Identifier is 1902207160, issued on Sep 8, 2014. 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 May 30, 2025.