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

Mr. Gavin Joseph Wisdom, MSW, LAC, SWLC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215638028

Mr. Gavin Joseph Wisdom, MSW, LAC, SWLC is an Addiction (Substance Use Disorder) Counselor in Missoula, Montana. Works from 2 locations. Licensed in Montana.

Licensed in
MT
In the registry since
2023
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

2825 Stockyard Rd Ste A11
Missoula, MT 59808-1544
Phone: (406) 543-5531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 404 3rd Ave E, Kalispell, MT 59901-4907 — (303) 601-1536

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence BBH-LAC-LIC-62611 (MT)

Record details

NPI number1215638028
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LAC , SWLC
Sole proprietorNo
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

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