CHARLES WAYLAND

MISSOULA, MT
NPI1720350960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MT  1050)
Enumeration Date2012-02-03
Last Update Date2017-01-03
Business Address
-- CHARLES WAYLAND LCSW
1365 SUNFLOWER DR
MISSOULA, MT 59802-3309
Phone number: 406-396-7834
Mailing Address
-- CHARLES WAYLAND LCSW
336 W SPRUCE ST
MISSOULA, MT 59802-4108
Phone number: 406-396-7834
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