National Provider Identifier
Jacob Blackwell
Jacob Blackwell is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Missoula, MT and a listed phone number of (406) 201-6501.
Source: public NPPES record, last updated September 08, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1871137034
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 31, 2019
- Last Updated
- September 08, 2023
Practice Location
- 800 Kensington Ave Ste 203
- Missoula, MT 59801-5670
Phone: (406) 201-6501
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Clinical Social Worker (1041C0700X)
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Biography
Jacob Blackwell is a Missoula behavioral health clinician whose public NPPES record lists him with Blackwell Behavioral Health and Montana licensure entries in both addiction counseling and clinical social work.
Full Record
- NPI
- 1871137034
- Entity Type
- Individual
- Last Name
- Blackwell
- First Name
- Jacob
- Mailing Street Address
- 800 Kensington Ave Ste 203
- Mailing City
- Missoula
- Mailing State
- MT
- Mailing ZIP Code
- 59801-5670
- Mailing Country
- US
- Mailing Phone
- (406) 201-6501
- Practice Street Address
- 800 Kensington Ave Ste 203
- Practice City
- Missoula
- Practice State
- MT
- Practice ZIP Code
- 59801-5670
- Practice Country
- US
- Practice Phone
- (406) 201-6501
- Enumeration Date
- October 31, 2019
- Last Updated
- September 08, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 08, 2023
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Clinical Social Worker (1041C0700X)