MR. Bradley Jay Wagner, LAC is an addiction (substance use disorder) counselor in Missoula, MT. MR. Bradley Jay Wagner, LAC NPI is 1720583842. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1321 WYOMING ST
MISSOULA, MT
ZIP 59801-725
Phone: (406) 532-9901
Fax: (406) 532-9901
The enumeration date for this NPI number is 3/29/2018 and was last updated on 3/29/2018.