person
Mr. Gavin Joseph Wisdom, MSW,LAC,SWLC
Addiction (Substance Use Disorder) Counselor in Missoula, Montana
NPI 1215638028

Gavin Joseph Wisdom is an Addiction (Substance Use Disorder) Counselor based in Kalispell, MT and is specialized in Addiction (Substance Use Disorder). Gavin Joseph Wisdom practices in Missoula, MT and has the professional credentials of MSW,LAC,SWLC. The NPI Number for Gavin Joseph Wisdom is 1215638028 and holds a License No. BBH-LAC-LIC-62611 (Montana).

The current practice location address for Gavin Joseph Wisdom is 2825 Stockyard Rd Ste A11, Missoula, MT and can be reached out via phone at 406-543-5531.

Location: 2825 Stockyard Rd Ste A11, Missoula, MT, 59901-4907
person
Provider Profile Details
NPI Number
1215638028
Provider Name
Gavin Joseph Wisdom
Credential
MSW,LAC,SWLC
Provider Entity Type
Individual
Gender
Male
Address
2825 Stockyard Rd Ste A11, Missoula, MT, 59901-4907
Phone Number
406-543-5531
Fax Number
Provider Enumeration Date
03/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2825 Stockyard Rd Ste A11
City
State
Zip
59808-1544
Phone Number
406-543-5531
Fax Number
person
Provider Business Mailing Address Details
Address
2825 Stockyard Rd Ste A11
City
State
Zip
59808-1544
Phone Number
406-543-5531
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
BBH-LAC-LIC-62611 (Montana)
Definition
Definition to come...
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