Individual
MR. PAUL WAGLER MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAC, BCD
Contact information
Practice address
111 N. LAST CHANCE GULCH SUITE 2A, HELENA, MT 59601
(406) 443-1990
(406) 443-1391
Mailing address
911 WAUKESHA ST, BUTTE, MT 59701-8747
(406) 431-7356
(406) 443-1391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1163-LAC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4033-96
B. C. DIPLOMATE-AMER.BDA
MT
01
—
761160
BCBS MT.
MT
Enumeration date
12/19/2006
Last updated
07/08/2007
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