Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHASE GANNON
Active Sole ProprietorCHASE GANNON is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in MISSOULA, Montana. NPI 1265223382 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · MISSOULA, MT
Registration Details
- NPI Number
- 1265223382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2025 (1.2807221421358 yrs)
- Last Updated
- May 16, 2025
- License
-
BBH-LAC-LIC-79686 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
202 BROOKS ST STE 300MISSOULA, MT, 598014019Browse MT providers · Browse ZIP 59801
- Phone
- 4069261453
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.