LOWELL OWEN WAVRICK


Address: 4998 Sonoma St, Missoula, MT 59808-8694
Phone: (406) 945-1730

LOWELL OWEN WAVRICK (NPI# 1508380569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508380569
Entity Type Individual
Full Name LOWELL OWEN WAVRICK
Credential LAC
Practice Address 4998 Sonoma St
Missoula
MT 59808-8694
Practice Telephone (406) 945-1730
Mailing Telephone 4069451730
Enumeration Date 2017-08-01
Last Update Date 2017-08-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
BBH-LAC-LIC-2492 MT Behavioral Health & Social Service Providers

Office Location

Street Address 4998 SONOMA ST
City MISSOULA
State MT
Zip Code 59808-8694

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447720875 Megan Elizabeth Galliford Behavioral Analyst 1647 Shindig Dr, Apt 303, Missoula, MT 59808 2018-11-28
1518473560 Willow Mahana Nelson Griffith Registered Nurse 2829 Great Northern Loop Ste 300, Missoula, MT 59808 2017-12-28
1043739428 Carol Elizabeth Mckenzie Student in an Organized Health Care Education/Training Program 2705 Oshaughnessy St, Missoula, MT 59808 2017-09-16
1558884064 Sharon Marie Herndon Nurse Practitioner 2230 N Reserve St Ste 402, Missoula, MT 59808 2017-07-18
1427594761 Erin Boggs Specialist/Technologist 2921 Dublin St, Missoula, MT 59808 2017-01-10
1942603287 Benjamin Cody Mcintosh Chiropractor 1070 N. Russell St., Missoula, MT 59808 2014-10-01
1518219617 Pure Medical Inc Ambulance 5515 Bonanza Place, Missoula, MT 59808 2012-10-12
1932462231 Kathleen F Calcagno Specialist/Technologist 2615 Connery Way, Suite 2b, Missoula, MT 59808 2012-06-21
1639454127 Dentyn Dunaway Pharmacist 2527 N Reserve Street, Missoula, MT 59808 2011-10-15
1750557690 Carl Thornblade, Md, Pllc Allergy & Immunology 2801 Great Northern Loop Ste 101, Missoula, MT 59808 2008-04-30
Find all providers in zip 59808

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922667062 Patrick Ryan Counselor 1335 Wyoming St, Missoula, MT 59801-1725 2019-06-12
1497237648 Leigh Ann Christian Lcsw, Lac Pllc Counselor 127 N Higgins Ave Ste 307d, Missoula, MT 59802-4486 2018-09-04
1407346596 Stepping Stones Counseling, Pllc Counselor 202 Brooks St Ste 300, Missoula, MT 59801 2018-05-14
1831686088 Darren Baird Ashby Counselor 202 Brooks St, Missoula, MT 59801-4019 2018-04-13
1649720319 Andrea J Foran Counselor 700 South Ave W Ste B, Missoula, MT 59801-8011 2016-10-06
1922557123 Candace Mirea Counselor 2809 Connery Way Ste B, Missoula, MT 59808-1955 2016-09-28
1316312150 Greta Jernberg Counselor 800 Kensington Ave Ste Ll2, Missoula, MT 59801-5670 2015-12-04
1851766745 Kali Neumeister Counselor 136 E Broadway St Ste 16, Missoula, MT 59802-4505 2015-12-03
1124418298 Ronald Emmanuel Barker Counselor 1119 W Kent Ave Ste C, Missoula, MT 59801-6633 2015-01-28
1972993319 Emily Christine Anderson Counselor 6809 Sophie Dr, Missoula, MT 59803-3581 2015-01-23
Find all providers in MISSOULA

Competitor

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City MISSOULA
Zip Code 59808

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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