MR. BRADLEY WAGNER, LAC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1720583842
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 29887 (MT) |
Frequently Asked Questions
NPI 1720583842 is the National Provider Identifier for MR. BRADLEY WAGNER, LAC, a Counselor - Addiction (Substance Use Disorder) provider located in Missoula, MT. This NPI was enumerated on March 29, 2018.
MR. BRADLEY WAGNER, LAC practices at 1321 WYOMING ST, Missoula, MT 59801.
Quick Facts
- NPI
- 1720583842
- Type
- Individual
- Enumerated
- Mar 29, 2018
- Last Updated
- Mar 29, 2018
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