Individual provider · Type 1 NPI
Gavin Joseph Wisdom, MSW, LAC, SWLC
Addiction (Substance Use Disorder) Counselor · Missoula, MT
NPI number
1215638028
Active
Practice location
2825 Stockyard Rd Ste A11
Missoula, MT 59808-1544
Mailing address
404 3rd Ave E
Kalispell, MT 59901-4907
Other practice locations
- 404 3rd Ave E, Kalispell, MT 59901-4907 · (303) 601-1536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | BBH-LAC-LIC-62611 (MT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
5 other providers at this address
- New Mercies 247 LLCProfessional Counselor Missoula, MT NPI 1326809302
- Partnership for ChildrenPeer Specialist Missoula, MT NPI 1023767407
- Katharyne Alysse Bushman, MA, NCCMental Health Counselor Missoula, MT NPI 1700763281
- Kathryn Lowe Karas, LCSWClinical Social Worker Missoula, MT NPI 1487103727
- Ryan Norton, MAMental Health Counselor Missoula, MT NPI 1255813135
Other addiction (substance use disorder) counselor providers in Missoula
- David L. Donaldson, LACAddiction (Substance Use Disorder) Counselor Missoula, MT NPI 1023126885
- Edna Starr, LACEAddiction (Substance Use Disorder) Counselor Missoula, MT NPI 1033512496
- Kathleen Little LeafAddiction (Substance Use Disorder) Counselor Missoula, MT NPI 1063813152
- Carmen Foy Lousen, LCPC AND LACAddiction (Substance Use Disorder) Counselor Missoula, MT NPI 1073666830
- Douglas James McCollum, MA, LAC, CADC IAddiction (Substance Use Disorder) Counselor Missoula, MT NPI 1093613762
- Teague Matthew JacksonAddiction (Substance Use Disorder) Counselor Missoula, MT NPI 1124947254
- Shaen McElravy, MSW, LACAddiction (Substance Use Disorder) Counselor Missoula, MT NPI 1144338955
- Laurie Jean Randall, LAC, RNAddiction (Substance Use Disorder) Counselor Missoula, MT NPI 1144454810
About NPI 1215638028
Gavin Joseph Wisdom, MSW, LAC, SWLC's National Provider Identifier is 1215638028, issued on Mar 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Missoula, MT. The record was last updated on Mar 17, 2023.