Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chase Gannon

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1265223382

Chase Gannon is an Addiction (Substance Use Disorder) Psychologist in Missoula, Montana. Practices as a sole proprietor. Licensed in Montana.

Licensed in
MT
In the registry since
2025

Practice location Address checks out

202 Brooks St Ste 300
Missoula, MT 59801-4019
Phone: (406) 926-1453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary) Taxonomy 103TA0400X · Licence BBH-LAC-LIC-79686 (MT)

Record details

NPI number1265223382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025