Provider Demographics
NPI:1992861215
Name:COWDREY, WILL L III (MS, PLLC)
Entity Type:Individual
Prefix:MR
First Name:WILL
Middle Name:L
Last Name:COWDREY
Suffix:III
Gender:M
Credentials:MS, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SW HIGGINS AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1429
Mailing Address - Country:US
Mailing Address - Phone:406-549-1781
Mailing Address - Fax:406-829-2739
Practice Address - Street 1:700 SW HIGGINS AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1429
Practice Address - Country:US
Practice Address - Phone:406-549-1781
Practice Address - Fax:406-829-2739
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT340101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional