| Mr Bradley Jay Wagner, LAC | |
|
1321 Wyoming St, Missoula, MT 59801-1725 | |
| (406) 532-9901 | |
| (406) 532-9901 |
| Full Name | Mr Bradley Jay Wagner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1321 Wyoming St, Missoula, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720583842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 29887 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Jay Wagner, LAC 140 N Russell St, Missoula, MT 59801-1704 Ph: (406) 532-9900 | Mr Bradley Jay Wagner, LAC 1321 Wyoming St, Missoula, MT 59801-1725 Ph: (406) 532-9901 |
Ms. Sue Ellen Silverberg, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 230 S Davis St, Missoula, MT 59801 Phone: 406-728-5866 | |
Ms. Linda Faye Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4123 S 7th St W, Missoula, MT 59804 Phone: 406-274-2733 | |
James Walter Thompson Iv, PCLC, LSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 Fairview Ave Ste A, Missoula, MT 59801 Phone: 406-214-3810 | |
Mr. Brooks William Baer, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 902 N Orange St, Suite 102, Missoula, MT 59802 Phone: 406-327-3034 Fax: 406-327-3385 | |
Clare Maguire, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 S 3rd St W, Missoula, MT 59804 Phone: 406-360-0443 | |
Krista Snyder, PCLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 913 Sw Higgins Ave Ste 102, Missoula, MT 59803 Phone: 406-544-5902 | |
Mr. David L. Donaldson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 Wyoming St, Missoula, MT 59801 Phone: 406-532-9800 Fax: 406-541-3032 |