| Doctor Name: | WAVA E GOETZ |
| NPI Number: | 1043369978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 490 LCPC |
| Business Practice Address: | 410 Central Ave Suite 509 Great Falls, MT - 594013154 |
| Business Phone Number: | 4067617079 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1077, GREAT FALLS |
| State: | MT |
| Postal Code: | 594031077 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 490 LCPC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |