Jacob Blackwell

NPI 1871137034 · on the registry since 2019

Practice

Address: 800 Kensington Ave Ste 203
Missoula, MT 59801
Phone: (406) 201-6501
Organisation at this address: Adam Boomer Llc
Mark Ferriter Llc
Speech Savvy, Pllc
Callie Heiskell Llc
Krista Hellem Lcsw Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 1041C0700X
Licence states on file: MT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana