Search › Montana › 101YP2500X
Graham Bacon, LCPC
NPI 1871299453 · on the registry since 2023 · sole proprietor
Practice
- Address
- 114 W Pine St Ste 3
Missoula, MT 59802 - Phone
- (406) 481-6604
- Organisation at this address
- Wildroots Collective
Wading Waters Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 1724 Fairview Ave Ste A, Missoula, MT
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-20
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