Provider Demographics
NPI:1588124952
Name:DAGEL, WAYNE WILLIAM (MS, LCPC)
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:WILLIAM
Last Name:DAGEL
Suffix:
Gender:M
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50038
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-0038
Mailing Address - Country:US
Mailing Address - Phone:406-697-2661
Mailing Address - Fax:
Practice Address - Street 1:1404 MAIN ST STE C&D
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-1985
Practice Address - Country:US
Practice Address - Phone:406-697-2661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-22
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCPC-35071101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional