Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Blackwell

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871137034

Jacob Blackwell is an Addiction (Substance Use Disorder) Counselor in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2019.

Licensed in
MT
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

800 Kensington Ave Ste 203
Missoula, MT 59801-5670
Phone: (406) 201-6501
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Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence BBH-LAC-LIC-33154 (MT)
Clinical Social Worker Taxonomy 1041C0700X · Licence BBH-SWLC-LIC-48355 (MT)

Record details

NPI number1871137034
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 31, 2019
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing address800 Kensington Ave Ste 203, Missoula, MT 59801-5670

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