Individual provider · Type 1 NPI

Tazia Wisdom, PCLC

Mental Health Counselor · Kalispell, MT

NPI number 1013715234 Active

Practice location

1935 3rd Ave E
Kalispell, MT 59901-5780

Call (504) 357-1773 Map

Mailing address

404 3rd Ave E
Kalispell, MT 59901-4907

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XBBH-LCPC-LIC-87709 (MT)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1013715234

Tazia Wisdom, PCLC's National Provider Identifier is 1013715234, issued on Mar 4, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kalispell, MT. The record was last updated on Apr 1, 2026.