person
Lowell Owen Wavrick, LAC
Addiction (Substance Use Disorder) Counselor in Missoula, Montana
NPI 1508380569

Lowell Owen Wavrick is an Addiction (Substance Use Disorder) Counselor based in Missoula, MT and is specialized in Addiction (Substance Use Disorder). Lowell Owen Wavrick practices in Missoula, MT and has the professional credentials of LAC. The NPI Number for Lowell Owen Wavrick is 1508380569 and holds a License No. BBH-LAC-LIC-24926 (Montana).

The current practice location address for Lowell Owen Wavrick is 4998 Sonoma St, Missoula, MT and can be reached out via phone at 406-945-1730.

Location: 4998 Sonoma St, Missoula, MT, 59808-8694
person
Provider Profile Details
NPI Number
1508380569
Provider Name
Lowell Owen Wavrick
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
4998 Sonoma St, Missoula, MT, 59808-8694
Phone Number
406-945-1730
Fax Number
Provider Enumeration Date
08/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4998 Sonoma St
City
State
Zip
59808-8694
Phone Number
406-945-1730
Fax Number
person
Provider Business Mailing Address Details
Address
4998 Sonoma St
City
State
Zip
59808-8694
Phone Number
406-945-1730
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-24926 (Montana)
Definition
Definition to come...
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