| Chuck Wayland Lcsw Llc | |
|
336 W Spruce St Missoula MT 59802-4108 | |
| (406) 396-7834 | |
| Not Available |
| Full Name | Chuck Wayland Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 336 W Spruce St, Missoula, Montana |
| Authorized Official Name and Position | Chuck Wayland (OWNER) |
| Authorized Official Contact | 4063967834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chuck Wayland Lcsw Llc 336 W Spruce St Missoula MT 59802-4108 Ph: (406) 396-7834 | Chuck Wayland Lcsw Llc 336 W Spruce St Missoula MT 59802-4108 Ph: (406) 396-7834 |
| NPI Number | 1255047254 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255047254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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