KASEY JOSEPH NICHOLSON

MISSOULA, MT
NPI1366711418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  1340 LAC)
Enumeration Date2011-12-19
Last Update Date2011-12-19
Business Address
Mr. KASEY JOSEPH NICHOLSON M.S., LAC
830 W CENTRAL AVE
MISSOULA, MT 59801-7931
Phone number: 406-829-9515
Mailing Address
Mr. KASEY JOSEPH NICHOLSON M.S., LAC
830 W CENTRAL AVE
MISSOULA, MT 59801-7931
Phone number: 406-829-9515
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