MR. KASEY JOSEPH NICHOLSON M.S., LAC
NPI 1366711418
Counselor - Addiction (Substance Use Disorder) in Missoula, MT

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since December 19, 2011

830 W CENTRAL AVE, MISSOULA, MT 59801(406) 829-9515(406) 829-9519 Get Directions Write a Review

NPPES record last updated: December 19, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Kasey Joseph Nicholson M.s., Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KASEY JOSEPH NICHOLSON M.S., LAC (NPI 1366711418) is an individual addiction (substance use disorder) provider in Missoula, Montana, licensed in Montana (1340 LAC) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1366711418

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. KASEY JOSEPH NICHOLSONCredential: M.S., LAC

Location Address830 W CENTRAL AVEMissoula, MT 59801-7931

Mailing Address830 W Central AveMissoula, MT 59801-7931 · (406) 829-9515 · Fax (406) 829-9519

Phone(406) 829-9515

Fax(406) 829-9519

Sole ProprietorNo

Enumeration DateDecember 19, 2011

✔ NPI 1366711418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MT · 1340 LAC

830 W CENTRAL AVE, Missoula, MT 59801

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISSOULA URBAN INDIAN HEALTH CENTER, INC.

Clinic/Center (Rehabilitation, Substance Use Disorder)