Search › Montana › 101YA0400X
Gavin Wisdom, MSW, LAC, SWLC
NPI 1215638028 · on the registry since 2023
Practice
- Address
- 2825 Stockyard Rd Ste A11
Missoula, MT 59808 - Phone
- (406) 543-5531
- Organisation at this address
- Mhf Pllc
Braden Partners Lp
New Mercies 247 Llc
Foot Care Center Llc
Montana Yoga TherapyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Additional practice sites
- 404 3rd Ave E, Kalispell, MT
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana