Individual provider · Type 1 NPI

Elijah Logan Sundstrom, ACLC

Addiction (Substance Use Disorder) Counselor · Great Falls, MT

NPI number 1386524304 Active

Practice location

510 1st Ave N
Great Falls, MT 59401-2592

Fax (406) 791-9277

Mailing address

601 1st Ave N
Great Falls, MT 59401-2510

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBBH-ACLC-LIC-81309 (MT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386524304

Elijah Logan Sundstrom, ACLC's National Provider Identifier is 1386524304, issued on Sep 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Great Falls, MT. The record was last updated on Oct 1, 2025.