Provider Demographics
NPI:1598451833
Name:MCGILL, KELSEY (MA, PCLC, NCC, LSC)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:MCGILL
Suffix:
Gender:F
Credentials:MA, PCLC, NCC, LSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 N HIGGINS AVE STE 12
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4559
Mailing Address - Country:US
Mailing Address - Phone:406-686-1007
Mailing Address - Fax:
Practice Address - Street 1:415 N HIGGINS AVE STE 12
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4559
Practice Address - Country:US
Practice Address - Phone:406-686-1007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor