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MR. PAUL WAGLER MCCORMICK MS LAC BCD NPI 1760545917


NPI Information

NPI: 1760545917
Provider Name: MR. PAUL WAGLER MCCORMICK, MS, LAC, BCD
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
111 N. LAST CHANCE GULCH SUITE 2A
HELENA, MT
ZIP 59601
Phone: (406) 443-1990
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MR. Paul Wagler Mccormick, MS, LAC, BCD is an addiction (substance use disorder) counselor in Helena, MT. MR. Paul Wagler Mccormick, MS, LAC, BCD NPI is 1760545917. 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:

111 N. LAST CHANCE GULCH SUITE 2A
HELENA, MT
ZIP 59601
Phone: (406) 443-1990
Fax: (406) 443-1391

The enumeration date for this NPI number is 12/19/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1163-LACMONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14033-96OTHERMONTANAB. C. DIPLOMATE-AMER.BDA
2761160OTHERMONTANABCBS MT.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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