Individual provider · Type 1 NPI
Lowell Owen Wavrick, LAC
Addiction (Substance Use Disorder) Counselor · Missoula, MT
NPI number
1508380569
Active
Practice location
4998 Sonoma St
Missoula, MT 59808-8694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | BBH-LAC-LIC-24926 (MT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508380569
Lowell Owen Wavrick, LAC's National Provider Identifier is 1508380569, issued on Aug 1, 2017. 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 Jul 21, 2022.