NPI 1003631250

Mark Christopher Wayne, LCSW

Practitioner Clinical Social Worker Missoula, MT

Practice location

Address: 401 Railroad St W, Missoula, MT 59802-4109
Phone: (406) 830-5584

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence BBH-LCSW-LIC-78537 (MT)

Other Social Worker providers in Montana →

Registry record

NPI: 1003631250
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2024
Record last updated: 30 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.