MR. GAVIN JOSEPH WISDOM MSW, LAC, SWLC
NPI 1215638028
Counselor - Addiction (Substance Use Disorder) in Missoula, MT
About Mr. Gavin Joseph Wisdom Msw, Lac, Swlc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GAVIN JOSEPH WISDOM MSW, LAC, SWLC (NPI 1215638028) is an individual addiction (substance use disorder) provider in Missoula, Montana, licensed in Montana (BBH-LAC-LIC-62611) and active in the NPI registry since March 2023. He maintains a secondary practice location in Kalispell.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MISSOULA, MT 59808
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gavin Wisdom's NPI number?
The NPI number for Gavin Wisdom is 1215638028. It was assigned to this individual provider in the NPPES registry on March 17, 2023.
Where is Gavin Wisdom located?
Gavin Wisdom practices at 2825 Stockyard Rd Ste A11, Missoula, MT 59808. The listed phone number is (406) 543-5531.
What is Gavin Wisdom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Gavin Wisdom was last updated on March 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
